التفاصيل البيبلوغرافية
| العنوان: |
Fetal Myelomeningocele Repair through a Mini-Hysterotomy. |
| المؤلفون: |
Botelho, Rafael Davi, Imada, Vanessa, Rodrigues da Costa, Karina Jorge, Watanabe, Luiz Carlos, Rossi Júnior, Ronaldo, De Salles, antônio afonso Ferreira, Romano, Edson, Peralta, Cleisson Fábio andrioli |
| المصدر: |
Fetal Diagnosis & Therapy; Jul2017, Vol. 42 Issue 1, p28-34, 7p |
| مصطلحات موضوعية: |
MYELOMENINGOCELE, FETAL surgery, NEURAL tube defects, NEONATAL death, PREMATURE labor, PREVENTION of pregnancy complications, PREVENTION of surgical complications, ARNOLD-Chiari deformity, CEREBROSPINAL fluid shunts, GESTATIONAL age, HYDROCEPHALUS, LONGITUDINAL method, PREMATURE infants, OBSTETRICS surgery, PREGNANCY complications, SECOND trimester of pregnancy, SPINA bifida, SURGICAL complications, PILOT projects, RELATIVE medical risk, DISEASE incidence, PREVENTION |
| مصطلحات جغرافية: |
BRAZIL |
| مستخلص: |
Objective: To present the feasibility of fetal myelomeningocele (MMC) repair through a mini-hysterotomy and to describe the perinatal results from our initial experience.Methods: A descriptive study of cases of fetal MMC correction via mini-hysterotomy performed between 2014 and 2016.Results: Forty-five women underwent fetal surgery and 87% (39/45) delivered. A complete multilayer correction of the MMC was possible in all cases. There were no maternal, fetal or neonatal deaths. No maternal or fetal complications occurred from fetal MMC correction until maternal hospital discharge. The average gestational age (GA) at surgery was 24.5 weeks (standard deviation, SD: 1.7; range: 20.7-26.9). The median hysterotomy length was 3.05 cm (SD: 0.39; range: 2.50-3.50). One patient (1/39; 2.6%) experienced chorioamniotic separation. Nine patients (9/39; 23.1%) had premature preterm rupture of membranes at a median GA of 34.1 weeks (range: 31.1-36.0). The average GA at delivery was 35.3 weeks (SD: 2.2; range: 27.9-39.1). Ninety-five percent (37/39) of our patients had an intact hysterotomy site at delivery. Ventriculoperitoneal shunt placement was necessary for 7.7% (3/39) of the neonates.Conclusion: Fetal MMC repair is feasible through a mini-hysterotomy. This approach appears to be associated with reduced risks of very preterm delivery and maternal, fetal and neonatal complications. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
