Document Detail

In utero limb salvage: fetoscopic release of amniotic bands for threatened limb amputation.
MedLine Citation:
PMID:  12778379     Owner:  NLM     Status:  MEDLINE    
The natural history of extremity amniotic band syndrome (ABS) is a progression to deformity or amputation. Fetoscopic laser release of amniotic bands in extremity ABS offers the potential to prevent limb amputation. The authors report on 2 patients with isolated extremity ABS who underwent fetoscopic release. Both patients had isolated extremity ABS with compromised extremity perfusion and no other significant structural abnormality diagnosed sonographically. The first patient underwent fetoscopic release of bands of the left wrist, and the second patient underwent lysis of bands around the right wrist and an unsuspected band around the right lower extremity. Both patients had restoration of blood flow by color Doppler to the affected extremity. There were no perioperative complications. In select patients with isolated extremity ABS, early fetoscopic release may prevent amputation and allow improved limb development.
Sundeep G Keswani; Mark P Johnson; N Scott Adzick; Steven Hori; Lori J Howell; R Douglas Wilson; Holly Hedrick; Alan W Flake; Timothy M Crombleholme
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  38     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-06-02     Completed Date:  2003-10-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  848-51     Citation Subset:  IM    
The Center for Fetal Diagnosis and Treatment, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
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MeSH Terms
Amniotic Band Syndrome / surgery*,  ultrasonography
Fetoscopy / methods*
Gestational Age
Infant, Newborn
Limb Salvage / methods*
Uterus / surgery*
Wrist / abnormalities,  blood supply,  surgery

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