Prenatal superior to postnatal myelomeningocele surgery
نویسندگان
چکیده
منابع مشابه
Fetal 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 کاملPrenatal intervention for urinary obstruction and myelomeningocele.
Widespread use of ultrasonography has resulted in an increase in the recognition of fetal hydronephrosis. The enthusiasm that accompanied early interventions has been tempered by the experience and results obtained over the past 2 decades. The goal has remained the same: to identify patients with serious prenatal obstruction and to identify those which may benefit from intervention. Myelomening...
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may be related to the selective advantages of maturity at birth, particularly, in man, the development of immunity to infectious disease. Verbal reasoning scores recorded in the 11-plus examination provide no evidence that the retarded prenatal growth associated with prolongation of gestation affects measured intelligence. There are considerable score differences in a general population of birt...
متن کاملPrenatal programming of postnatal plasticity?
Evidence indicates that maternal prenatal distress predicts problematic health and behavioral outcomes in children as well as infant/child cortisol levels and negative emotionality as reviewed here. Evidence that these physiological and behavioral characteristics themselves moderate environmental effects on development in a "for better and for worse" manner consistent with Belsky's differential...
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...
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ژورنال
عنوان ژورنال: The Journal of Pediatrics
سال: 2018
ISSN: 0022-3476
DOI: 10.1016/j.jpeds.2018.04.060