Fetoscopic Repair of Meningomyelocele.

Abstract:

BACKGROUND:Currently, maternal-fetal surgery for repair of myelomeningocele requires an upper-segment hysterotomy, which likely increases maternal postsurgical risks. If fetoscopic repair of myelomeningocele achieves similar or better fetal outcomes while decreasing maternal risks, it would be a better option. CASE:A patient with a fetus with a L3-S1 meningomyelocele underwent a laparotomy and fetoscopic repair using a two-port, in-CO2 approach at 23 2/7 weeks of gestation. The neonate was delivered at 30 6/7 weeks of gestation by lower segment cesarean delivery and required no further surgery, has not needed a shunt (5 months), and has normal, age-appropriate neurologic function. CONCLUSION:This innovative fetoscopic approach may offer an alternative to open fetal surgery and may prevent the need for hysterotomy and cesarean delivery in index and subsequent pregnancies.

journal_name

Obstet Gynecol

authors

Belfort MA,Whitehead WE,Shamshirsaz AA,Ruano R,Cass DL,Olutoye OO

doi

10.1097/AOG.0000000000000835

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

881-884

issue

4

eissn

0029-7844

issn

1873-233X

pii

00006250-201510000-00029

journal_volume

126

pub_type

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