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Perinatal outcome after fetoscopic release of amniotic band - a single center experience and a review of the literature.
MedLine Citation:
PMID:  23671033     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: we present two successful cases of fetoscopic release of amniotic bands with umbilical cord involvement, and provide a review of the literature on fetal intervention for Amniotic Band Syndrome (ABS). METHODS: Our two case reviews, as well as a review of the literature were performed. A total of 14 patients with an amniotic band syndrome underwent fetoscopic intervention between 1965 and 2012. Two of the authors, independently completed literature searches in PubMed, Ovid and MEDLINE for articles related to amniotic band syndrome. STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines were followed. RESULTS: Among fourteen published cases of ABS, 57% and 7% of cases were complicated by PPROM and spontaneous preterm birth (SPTB), respectively. Over all, the procedure resulted in a functional limb in 50% (7/14) of cases. There were 3 cases with intra-operative complications including intra-amniotic bleeding, uterine wall bleeding, and inability to complete the cases due to ineffective equipment. CONCLUSION: Fetoscopic release of amniotic bands with minimally invasive surgery may allow for preservation of life and/or limb function, in cases of amniotic band syndrome. The acceptable functional outcome in 50% of the cases is reassuring, although more experience and further studies are needed in order to hone in on the appropriate selection criteria that will justify the risk of this invasive in-utero therapy for ABS.
Authors:
Pouya Javadian; Alireza A Shamshirsaz; Sina Haeri; Rodrigo Ruano; Susan M Ramin; Darrell Cass; Oluyinka O Olutoye; Michael A Belfort
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-5-13
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  -     ISSN:  1469-0705     ISO Abbreviation:  Ultrasound Obstet Gynecol     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-5-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
This article is protected by copyright. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology and Michael E. DeBakey, Baylor College of Medicine and Texas Children's Hospital, Houston, TX.
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