Magnetically Assisted Robotic Fetal Surgery for the Treatment of Spina Bifida

The 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 ...

The Treatment of Spina Bifida

are glad to have a full and authoritative account of it provided by the originator. The work is enriched by the addition of Professor Humphry's drawings, and by a special account of the pathology of spina bifida from the pen of Professor Cleland. The author modestly refers to the report of the Clinical Society on his mode of treatment with some gratitude, and at the same time with a certain amo...

Selection for treatment in spina bifida cystica.

This paper discusses (1) the mortality in 295 patients with myelomeningocele born 1961-9, (2) the "quality of life" of 88 surviving patients born 1961-5, and (3) their implications for selection for treatment in spina bifida cystica. Evidence is presented that high neurological levels, the presence of severe hydrocephalus, especially if present at birth, meningitis and ventriculitis, and gross ...

Spina Bifida (Myelomeningocele)

The Surgical Treatment of Hydrocephalus Associated with Spina Bifida *

The problem of treatment of the hydrocephalus associated with spina bifida has always been a most discouraging one and any improvement in the results, even though slight, is welcome. The treatment heretofore has been indirect with attention directed to preservation of the sac with mobilization of the cord or to restriction of fluid formation by ablation of the choroid plexuses. Both have been r...