Percutaneous minimal‐access fetoscopic surgery for spina bifida aperta. Part II: maternal management and outcome

@article{Degenhardt2014PercutaneousMF,
  title={Percutaneous minimal‐access fetoscopic surgery for spina bifida aperta. Part II: maternal management and outcome},
  author={Jan Degenhardt and Rainer Sch{\"u}rg and Agus Nur Salim Winarno and Frank Oehmke and Anastasiia Khaleeva and Andreea Kawecki and Christian Enzensberger and Hans Rudolf Tinneberg and Dirk Faas and Harald Ehrhardt and Roland Axt‐Fliedner and Thomas Kohl},
  journal={Ultrasound in Obstetrics \& Gynecology},
  year={2014},
  volume={44}
}
To assess maternal morbidity and outcome in women undergoing minimal‐access fetoscopic surgery for spina bifida aperta. 
Percutaneous minimally invasive fetoscopic surgery for spina bifida aperta. Part I: surgical technique and perioperative outcome
  • T. Kohl
  • Medicine
  • Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 2014
TLDR
The current technical approach of percutaneous minimal‐access fetoscopic closure of spina bifida aperta (SBA) is analyzed and an overview of its development in ovine and human fetuses is provided. Expand
Percutaneous minimally invasive fetoscopic surgery for spina bifida aperta. Part III: neurosurgical intervention in the first postnatal year
  • K. Graf, T. Kohl, +6 authors M. Kolodziej
  • Medicine
  • Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 2016
TLDR
To evaluate the need for postnatal neurosurgical intervention after fetoscopic patch coverage of spina bifida aperta (SBA), a large number of patients with SBA were treated with a single excision. Expand
Procedure‐related complications of open vs endoscopic fetal surgery for treatment of spina bifida in an era of intrauterine myelomeningocele repair: systematic review and meta‐analysis
To assess and compare the rate of procedure‐related complications after intrauterine treatment of spina bifida by endoscopic surgery and by open fetal surgery.
Fully percutaneous fetoscopic repair of myelomeningocele: 30‐month follow‐up data
  • D. Diehl, F. Belke, +10 authors B. Neubauer
  • Medicine
  • Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 2020
This observational study reports on the postnatal mortality and 30‐month outcome of children who underwent fully percutaneous fetoscopic repair of myelomeningocele (MMC) at a single center inExpand
Learning curves of open and endoscopic fetal spina bifida closure: systematic review and meta‐analysis
  • L. Joyeux, F. D. De Bie, +20 authors J. Deprest
  • Medicine
  • Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 2019
TLDR
A systematic review of the learning curve (LC) of different fetal SBA closure techniques found that some techniques may reduce maternal risks without compromising the fetal neuroprotective effects. Expand
Outcomes of infants followed‐up at least 12 months after fetal open and endoscopic surgery for meningomyelocele: a systematic review and meta‐analysis
TLDR
To assess the outcomes of infants followed‐up at least 12 months after open and endoscopic fetal surgery for the treatment of spina bifida, a large number of infants had at least one operation. Expand
Comparison of brain microstructure after prenatal spina bifida repair by either laparotomy‐assisted fetoscopic or open approach
  • M. Cortes, P. Torres, +12 authors M. Belfort
  • Medicine
  • Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 2019
To compare prenatal and postnatal brain microstructure between infants that underwent fetoscopic myelomeningocele (MMC) repair and those that had open‐hysterotomy repair.
Maternal complications following open and fetoscopic fetal surgery: A systematic review and meta‐analysis
TLDR
To establish maternal complication rates for fetoscopic or open fetal surgery, fetoscopic and open fetal operations are compared to other types of surgery. Expand
Does fetoscopic or open repair for spina bifida affect fetal and postnatal growth?
  • M. Sanz Cortes, I. Davila, +10 authors M. Belfort
  • Medicine
  • Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 2019
TLDR
The aim was to assess and compare growth in fetuses, neonates and infants who underwent prenatal fetoscopic or open MMC repair. Expand
Fetal open spinal dysraphism repair through a mini‐hysterotomy: Influence of gestational age at surgery on the perinatal outcomes and postnatal shunt rates
To analyze the impact of gestational age (GA) at the time of fetal open spinal dysraphism (OSD) repair through a mini‐hysterotomy on the perinatal outcomes and the infants' ventriculoperitoneal shuntExpand
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References

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Fetal endoscopic myelomeningocele closure preserves segmental neurological function
Aim  Our aim was to compare the effect of prenatal endoscopic with postnatal myelomeningocele closure (fetally operated spina bifida aperta [fSBA]) versus neonatally operated spina bifida apertaExpand
Percutaneous Fetoscopic Patch Coverage of Spina Bifida Aperta in the Human – Early Clinical Experience and Potential
TLDR
Percutaneous fetoscopic patch coverage of spina bifida aperta is feasible in human fetuses and offers a substantial reduction of maternal trauma compared to open fetal repair. Expand
Fetoplacental Blood Flow Predicts Outcome After Open Fetal Surgery for Diaphragmatic Hernia in Human Fetuses † 121
TLDR
Fetoplacental Blood Flow Predicts Outcome After Open Fetal Surgery for Diaphragmatic Hernia in Human Fetuses and Causes of Death is Uncertain. Expand
Percutaneous fetoscopic patch closure of human spina bifida aperta: advances in fetal surgical techniques may obviate the need for early postnatal neurosurgical intervention
TLDR
Percutaneous minimally invasive fetoscopic patch closure of spina bifida aperta offers a substantially less maternal trauma than open fetal surgical repair and currently may even obviate the need for postnatal neurosurgical repair. Expand
Fetal surgery for myelomeningocele?
TLDR
Despite the promise of fetal surgical procedures, such repair of structural malformations has had limited results and success requires an accurate identification of which fetuses are at highest risk for a poor outcome if repair is delayed until after birth. Expand
Endoscopic coverage of fetal myelomeningocele in utero.
TLDR
Minimally invasive fetal surgery appears to constitute a feasible approach to nonlethal fetal malformations that result in progressive and disabling organ damage. Expand
In utero Repair of Myelomeningocele: A Comparison of Endoscopy and Hysterotomy
TLDR
With current technology, in utero repair of congenital myelomeningocele through a hysterotomy appears to be technically superior to procedures performed endoscopically. Expand
Percutaneous fetal access and uterine closure for fetoscopic surgery
TLDR
Percutaneous intraamniotic access and uterine closure for fetoscopic surgery for Fetoscopic surgery can be achieved reliably with little maternal and fetal morbidity in sheep. Expand
Percutaneous fetoscopic patch coverage of experimental lumbosacral full-thickness skin lesions in sheep
TLDR
Percutaneous fetoscopic posturing and patch coverage of lumbosacral full-thickness skin lesions can effectively and safely be achieved in sheep and promises to provide a substantial reduction of maternal trauma from fetal surgery for myelomeningoceles. Expand
Intrauterine repair of spina bifida.
TLDR
In a 25-year follow up of 71 patients treated at birth in an aggressive, nonselective manner, Bowman et al observed that young adults ambulated a majority of the time, as did among a group of children with spina bifida repaired between 1971 and 1981, Steinbok et al described 44 of 83 as community ambulators. Expand
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