Fetal surgery for myelomeningocele: trials and tribulations
نویسندگان
چکیده
منابع مشابه
Fetal surgery: trials, tribulations, and turf.
Although it is now clear that the fetus has become a patient whose maladies deserve treatment, it is not yet clear what role fetal surgery plays now and will play in the future. Opinions vary about the state of fetal surgery in 2002, ranging from unrealistically optimistic (all birth defects will be diagnosed and treated before birth) to outright skeptical (a lot of “hype” over unproven treatme...
متن کاملThe tribulations and trials of fetal surgery for spina bifida.
UNTil ABoUT ForTy years ago, the womb shielded the fetus from observation and therapy. The rapid changes in the diagnosis and treatment of human fetal anatomical abnormalities are due to improved fetal sonographic and ultrafast fetal magnetic resonance imaging (Mri) studies as well as fetal sampling techniques (e.g., amniocentesis, chorionic villus sampling) and a better understanding of fetal ...
متن کاملFetal surgery for myelomeningocele?
The possibility of surgical repair of fetal anomalies in utero has long tantalized obstetricians and pediatric surgeons, especially since the development of high-resolution real-time ultrasonography. The presumption has been that earlier in utero repair would provide superior outcomes for the offspring than would postnatal surgery. However, postnatal treatment is much simpler and is not traumat...
متن کاملBladder Function After Fetal Surgery for Myelomeningocele.
BACKGROUND A substudy of the Management of Myelomeningocele Study evaluating urological outcomes was conducted. METHODS Pregnant women diagnosed with fetal myelomeningocele were randomly assigned to either prenatal or standard postnatal surgical repair. The substudy included patients randomly assigned after April 18, 2005. The primary outcome was defined in their children as death or the need...
متن کاملFetal surgery for myelomeningocele: patient selection, perioperative management and outcomes.
Myelomeningocele (MMC), one of the most common congenital malformations, can result in severe lifelong disabilities,including paraplegia, hydrocephalus, Chiari II malformation(CM-II), incontinence, sexual dysfunction, skeletal deformations and mental impairment. MMC was the first nonlethal anomaly to be treated by fetal surgery. Experimental and clinical evidence suggests that the primary cause...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Journal of Pediatric Surgery
سال: 2012
ISSN: 0022-3468
DOI: 10.1016/j.jpedsurg.2011.11.021