Open fetal surgery for myelomeningocele.

Abstract:

:Despite efforts at prevention through the use of preconception folic acid, spina bifida remains one of the most common congenital anomalies of the central nervous system that is compatible with life. It is, however, associated with a significant degree of lifelong morbidity. The development of open fetal surgery for myelomeningocele (MMC) has been a long process but one that serves as a model for how new procedures and technologies need to be properly evaluated before being brought into mainstream medical practice. Even so, risks and benefits need to be evaluated for each patient. The currently available studies have been carried out on a highly selected patient population where the fetal findings provided the maximum opportunity for benefit from prenatal closure of the MMC defect. There is the potential that as the surgery becomes more widely available, pressure will be brought to bear to perform surgery in cases where the likelihood for benefit is decreased and yet the risks are not. The only way to duplicate the results of the current studies is to follow the methodology and criteria that were used in the studies. This will mean that not every fetus with an MMC will be a candidate for in utero surgery. The balance of risk to benefit will continue to evolve as further technological advances are evaluated and more follow-up information is obtained.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Bebbington MW,Danzer E,Johnson MP,Adzick NS

doi

10.1002/pd.2805

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

689-94

issue

7

eissn

0197-3851

issn

1097-0223

journal_volume

31

pub_type

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    authors: Driggers RW,Bernstein H,Lantz M,Stetten G,Escallon CS,Perlman E,Blakemore KJ

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    更新日期:2017-09-01 00:00:00

  • Pseudomosaicism, true mosaicism, and maternal cell contamination in amniotic fluid processed with in situ culture and robotic harvesting.

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    authors: Moertel CA,Stupca PJ,Dewald GW

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  • Cytogenetic analysis of 1375 amniotic fluid specimens from pregnancies with gestational age less than 14 weeks.

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    journal_title:Prenatal diagnosis

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    authors: Lockwood DH,Neu RL

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    abstract::The goal of the current paper is to present, on the basis of six investigated fetal hearts, the pathological substrate of prenatally, sonographically diagnosed echogenic intramyocardial foci. The right ventricle, left ventricle, interventricular septum and papillary muscles of both ventricles of six hearts of the fetu...

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    authors: Tennstedt C,Chaoui R,Vogel M,Göldner B,Dietel M

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    pub_type: 杂志文章,评审

    doi:10.1002/pd.1109

    authors: Daniel-Spiegel E,Weiner E,Gimburg G,Shalev E

    更新日期:2005-04-01 00:00:00

  • Beta-glucuronidase P408S, P415L allele in a Mexican population: population screening in Guadalajara and prenatal diagnosis.

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0223(199808)18:8<822::aid-pd361

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    更新日期:1998-08-01 00:00:00

  • Prenatal detection of a de novo terminal inverted duplication 4p in a fetus with the Wolf-Hirschhorn syndrome phenotype.

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1154

    authors: Beaujard MP,Jouannic JM,Bessières B,Borie C,Martin-Luis I,Fallet-Bianco C,Portnoï MF

    更新日期:2005-06-01 00:00:00

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    pub_type: 杂志文章

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    authors: Lam AC,Chan DH,Tong TM,Tang MH,Lo SY,Lo IF,Lam ST

    更新日期:2006-11-01 00:00:00

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1970140210

    authors: Dumez Y,Dommergues M,Gubler MC,Bunduki V,Narcy F,LeMerrer M,Mandelbrot L,Berkowitz R

    更新日期:1994-02-01 00:00:00

  • Clinical significance of amniotic-fluid-cell culture failure.

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:

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    abstract::Since 1993, the position of the American College of Medical Genetics (ACMG) has been that prenatal interphase fluorescence in situ hybridization (FISH) is investigational. In 1997, the FDA cleared the AneuVysion assay (Vysis, Inc.) to enumerate chromosomes 13, 18, 21, X and Y for prenatal diagnosis. Data is presented ...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章,多中心研究,评审

    doi:10.1002/pd.57

    authors: Tepperberg J,Pettenati MJ,Rao PN,Lese CM,Rita D,Wyandt H,Gersen S,White B,Schoonmaker MM

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    doi:10.1002/pd.1970110705

    authors: Callen DF,Fernandez H,Hull YJ,Svigos JM,Chambers HM,Sutherland GR

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    journal_title:Prenatal diagnosis

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1002/pd.2367

    authors: Kleeman L,Bianchi DW,Shaffer LG,Rorem E,Cowan J,Craigo SD,Tighiouart H,Wilkins-Haug LE

    更新日期:2009-12-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1002/pd.2137

    authors: Gerdes T,Kirchhoff M,Lind AM,Vestergaard Larsen G,Kjaergaard S

    更新日期:2008-12-01 00:00:00

  • Filtration and recirculation of early amniotic fluid. Evaluation of cell cultures from 100 diagnostic cases.

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    doi:10.1002/pd.1970131205

    authors: Sundberg K,Smidt-Jensen S,Lundsteen C,Agerbaek K,Philip J

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.4530

    authors: Van Lith JM,Faas BH,Bianchi DW

    更新日期:2015-01-01 00:00:00

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    pub_type: 杂志文章

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    authors: Martínez-Morillo E,García BP,Calvo FM,Alvarez FV

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  • Reversed end-diastolic umbilical flow in a first-trimester fetus with congenital heart disease.

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0223(1998100)18:10<1001::aid-pd

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    更新日期:1998-10-01 00:00:00

  • Prenatally diagnosed fetal ventriculomegaly; prognosis and outcome.

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    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0223(199806)18:6<557::aid-pd303

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    更新日期:1998-06-01 00:00:00

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.4281

    authors: Metcalfe A,Langlois S,Macfarlane J,Vallance H,Joseph KS

    更新日期:2014-02-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1002/pd.4533

    authors: Chiu RW,Myatt L,Otaño L

    更新日期:2015-01-01 00:00:00

  • Feticide in second- and third-trimester termination of pregnancy for fetal anomalies: Results of a national survey.

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.5594

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    更新日期:2019-12-01 00:00:00

  • Molecular characterisation of a prenatally diagnosed 5q15q21.3 deletion and review of the literature.

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    pub_type: 杂志文章,评审

    doi:10.1002/pd.1386

    authors: Malan V,Martinovic J,Sanlaville D,Caillat S,Waill MC,Ganne ML,Tantau J,Attie-Bitach T,Vekemans M,Morichon-Delvallez N

    更新日期:2006-03-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1002/pd.5266

    authors: Chon AH,Korst LM,Abdel-Sattar M,Llanes A,Ouzounian JG,Chmait RH

    更新日期:2018-06-01 00:00:00

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    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1002/pd.1970140910

    authors: Bernaschek G,Deutinger J,Hansmann M,Bald R,Holzgreve W,Bollmann R

    更新日期:1994-09-01 00:00:00

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    pub_type: 杂志文章,多中心研究

    doi:10.1002/pd.4113

    authors: Caradeux J,Serra R,Nien JK,Pérez-Sepulveda A,Schepeler M,Guerra F,Gutiérrez J,Martínez J,Cabrera C,Figueroa-Diesel H,Soothill P,Illanes SE

    更新日期:2013-08-01 00:00:00

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/pd.1090

    authors: van den Berg M,Timmermans DR,Kleinveld JH,Garcia E,van Vugt JM,van der Wal G

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