Document Detail


Endoscopic techniques in fetal surgery.
MedLine Citation:
PMID:  11754153     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fetal endoscopic surgery (FETENDO) involves many techniques that allow surgical procedures to be performed inside the uterus without an hysterotomy. The impetus for developing these minimal access techniques for fetal surgery is the unusual occurrence with an open hysterotomy of preterm labor, premature rupture of membranes, and maternal complications resulting from tocolytic therapy. The unique requirements of this approach necessitated a modification of existing endoscopic techniques, the development of novel fetoscopic instruments, and the inclusion of a wide variety of specialists. Technical expertise in the field and a natural evolution of techniques have given rise to innovative repairs previously not envisioned. Severe congenital diaphragmatic hernia, diseases of monochorionic twins, and obstructive uropathy have already been successfully treated using fetoscopic surgical techniques. Fetoscopic correction of many other non-life threatening anomalies continues to evolve. The future of fetoscopic surgical intervention depends on the continual evolution of novel approaches to disease, the elucidation of the pathophysiology and treatment of other fetal disorders, and a better understanding of treatment of complications of such intervention.
Authors:
R M Sydorak; A Nijagal; C T Albanese
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Yonsei medical journal     Volume:  42     ISSN:  0513-5796     ISO Abbreviation:  Yonsei Med. J.     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2001-12-25     Completed Date:  2002-01-24     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0414003     Medline TA:  Yonsei Med J     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  695-710     Citation Subset:  IM    
Affiliation:
The Fetal Treatment Center, University of California San Francisco, 513 Parnassus Ave., Room HSW 1601, San Francisco, CA 94143-0570, USA.
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MeSH Terms
Descriptor/Qualifier:
Anesthesia
Endoscopes
Female
Fetal Diseases / surgery*
Fetoscopy / methods*
Humans
Intraoperative Period
Operating Rooms
Pregnancy
Tocolysis
Ultrasonography, Prenatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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