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Open Fetal Microneurosurgery for Intrauterine Spina Bifida Repair by Rogelio Cruz-Martínez; Felipe Chavelas-Ochoa; Miguel Martínez-Rodríguez; Karla Aguilar-Vidales; Alma Gámez-Varela; Jonahtan Luna-García; Hugo López-Briones; Joel Chávez-Vega; Ángel Augusto Pérez-Calatayud; Manuel Alejandro Díaz-Carrillo; Edgar Ahumada-Angulo; Andrea Castelo-Vargas; Eréndira Chávez-González; Israel Juárez-Martínez; Rosa Villalobos-Gómez; Carlos Rebolledo-Fernández is a scholarly article available to read on EtoBox.

What is Open Fetal Microneurosurgery for Intrauterine Spina Bifida Repair about?

Objectives: The aim of the study was to describe the feasibility of open fetal microneurosurgery for intrauterine spina bifida (SB) repair and to compare perinatal outcomes with cases managed using the classic open fetal surgery technique. Methods: In this study, we selected a cohort of consecutive fetuses with isolated open SB referred to our fetal surgery center in Queretaro, Mexico, during a 3.5-year period (2016–2020). SB repair was performed by either classic open surgery (6- to 8-cm hysterotomy with leakage of amniotic fluid, which was replaced before uterine closure) or open microneurosurgery, which is a novel technique characterized by a 15- to 20-mm hysterotomy diameter, reduced fetal manipulation by fixing the fetal back, and maintenance of normal amniotic fluid and uterine volume during the whole surgery. Perinatal outcomes of cases operated with the classic open fetal surgery technique and open microneurosurgery were compared. Results: Intrauterine SB repair with a complete 3-layer correction was successfully performed in 60 cases either by classic open fetal surgery (n = 13) or open microneurosurgery (n = 47). No significant differences were observed in gestational age

Author

Rogelio Cruz-Martínez; Felipe Chavelas-Ochoa; Miguel Martínez-Rodríguez; Karla Aguilar-Vidales; Alma Gámez-Varela; Jonahtan Luna-García; Hugo López-Briones; Joel Chávez-Vega; Ángel Augusto Pérez-Calatayud; Manuel Alejandro Díaz-Carrillo; Edgar Ahumada-Angulo; Andrea Castelo-Vargas; Eréndira Chávez-González; Israel Juárez-Martínez; Rosa Villalobos-Gómez; Carlos Rebolledo-Fernández

Publisher

S. Karger AG

Published

2021

Language

EN