Fetoscopic surgery: Encouraged by clinical experience and boosted by instrument innovation

Deprest, Jan; Jani, Jacques; Lewi, Liesbeth; Ochsenbein‐Kölble, Nicole; Cannie, Mieke; Doné, Elisa; Roubliova, Xenia; Mieghem, Tim Van; Debeer, Anne; Debuck, Frederik; Sbragia, Lourenço; Toelen, Jaan; Devlieger, Roland; Lewi, Paul; Velde, Marc Van de

doi:10.1016/j.siny.2006.09.003

Cited by 72 publications

(48 citation statements)

References 59 publications

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“…Similar to other fetal interventions, rigorous intraoperative monitoring of both mother and fetus is paramount and adequate tocolysis must be achieved. Trochars are placed into the amniotic cavity using a Seldinger approach and a flexible fetoscope introduced into the amniotic cavity (25,26). Balloon tipped trochars can be used to minimize damage to the uterine wall and membranes (27).…”

Section: Fetoscopic Surgerymentioning

confidence: 99%

Advances in fetal surgery

Maselli¹,

Badillo²

2016

Ann. Transl. Med.

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Historically, the gold standard for the treatment of congenital malformations has been planned delivery at tertiary care center with attempted post-natal repair or amelioration of the lesion. Over the last few decades however, rapid advances in imaging and instrumentation technology combined with superior knowledge of fetal pathophysiology has led to the development of novel intrauterine interventions for most common fetal anomalies.Great success has already been seen the treatment of previous devastating anomalies such as myelomeningocele (MMC), congenital cystic malformations of the lung, twin-twin transfusion, and sacrococcygeal teratomas.Although still limited, these innovative techniques have unique potential to improve outcomes in the most devastating fetal anomalies.

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Section: Fetoscopic Surgerymentioning

confidence: 99%

Advances in fetal surgery

Maselli¹,

Badillo²

2016

Ann. Transl. Med.

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“…In future it will also be possible to treat foetuses for certain conditions prior to birth (while they are still in the womb). [204][205][206] The more that such findings are likely to be observed, the more prenatal screening will come to have a dual objective. This will certainly not make counselling any easier.…”

Section: Exception For Reproductive Screeningmentioning

confidence: 99%

Rapid aneuploidy detection or karyotyping? Ethical reflection

et al. 2011

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“…The International Fetal Medicine and Surgery Society, has endorsed a consensus statement aimed at guiding the practice of fetal surgery (Table 1). 7 With the practice of open surgery considerable fetal and maternal morbidity were encountered. This has been the driving force behind the birth of minimal access techniques as clinicians tried to balance the benefit and side effect of intervention.…”

Section: Introductionmentioning

confidence: 99%