the prolonged retention of fetal bone structure is an uncommon condition after a previous abortion. we describe two cases with fetal bone fragment amongst 3589 hysteroscopies (0.05%) who had no complaint other than secondary infertility. in both patients hyperechogenic areas were found through transvaginal ultrasound and the bones were removed by hysteroscopy. despite meticulous evaluation duri...

BACKGROUND Fetal surgery is selectively offered for severe or life-threatening fetal malformations. These infants are often born prematurely and are thus at risk for retinopathy of prematurity (ROP). It is not known whether fetal surgery confers an increased risk of developing severe ROP relative to published rates in standard premature populations ≤37 weeks of age grouped by birth weight (<150...

Congenital CNS abnormalities have been targets for prenatal intervention since the founding of fetal surgery 30 years ago, but with historically variable results. Open fetal neurosurgery for myelomenigocele has demonstrated the most promising results of any CNS malformation. Improvements in the understanding of congenital diseases and in fetal surgical techniques have reopened the door to apply...

PURPOSES To describe ocular features, management of cataract and functional outcomes in patients with persistent fetal vasculature. METHODS Retrospective, descriptive case series of patients with persistent fetal vasculature. Data were recorded from the Congenital Cataract Section of Federal University of São Paulo, Brazil from 2001 to 2012. All patients were evaluated for sex, age at diagnos...

Advances in obstetric anesthesia, which closely followed changes in maternal--fetal and neonatal medicine have been developing rapidly in recent years and will continue to do so in the future. Progress in prenatal diagnosis (e.g. refinement of imaging techniques) has led to early, more precise and more frequent detection of fetal anomalies, which if left untreated, would be fatal or lead to sig...

An increased understanding of the reparative process in fetal membrane following surgical techniques may be helpful to decrease the risks to mother and fetus and avoid adverse pregnancy outcomes. The present study discusses histological evaluation of the fetal membrane following open fetal surgery. Chorioamniotic membranes (n=10) were obtained following birth from pregnancies that underwent ope...

Fetal diagnosis prompts the question for fetal therapy in highly selected cases. Some conditions are suitable for in utero surgical intervention. This paper reviews historically important steps in the development of fetal surgery. The first invasive fetal intervention in 1963 was an intra-uterine blood transfusion. It took another 20 years to understand the pathophysiology of other candidate fe...

BACKGROUND Emergency rescue lung resection is rarely performed to treat congenital lung cysts (CLCs) in neonates. Many reports have described fetal CLC treatment; however, prenatal predictors for postnatal respiratory failure have not been characterized. We hypothesized that fetal imaging findings are useful predictors of emergency surgery. METHODS We retrospectively studied patients with CLC...