RT Book, Section
A1 Rosner, Mara
A1 Baschat, Ahmet
A1 Groves, Mari
A1 S. Faden, Majed
A1 Laurie, Melissa
A1 Miller, Jena
A2 Malinger, Gustavo
A2 Monteagudo, Ana
A2 Pilu, Gianluigi
A2 Paladini, Dario
A2 Timor-Tritsch, Ilan E.
SR Print(0)
ID 1194721711
T1 Fetal Neurosurgery
T2 Timor's Ultrasonography of the Prenatal Brain, 4e
YR 2023
FD 2023
PB McGraw Hill Education
PP New York, NY
SN 9781260136166
LK obgyn.mhmedical.com/content.aspx?aid=1194721711
RD 2024/04/24
AB KEY  POINTSFetal  myelomeningocele  (MMC)  repair  reduces  the  need  for  postnatal  ventriculoperitoneal  shunting  at  1  year  by  at  least  a  half  compared  with  postnatal  repair.Motor  and  bladder  function  outcome  studies  after  fetal  MMC  repair  are  encouraging,  and  further  study  is  underway.Preliminary  findings  demonstrate  that  fetoscopic  MMC  repair  seems  to  offer  similar  neonatal  benefits  to  the  open  approach,  with  the  advantage  of  allowing  for  safe  vaginal  delivery  in  the  index  and  future  pregnancies.  Fetoscopic  MMC  repair  is  not  associated  with  an  increased  risk  for  uterine  rupture,  compared  to  an  11%  risk  after  open  repair.In  1986,  a  moratorium  was  placed  on  human  fetal  ventriculoperitoneal  shunting.  However,  due  to  improvements  in  fetal  diagnosis  and  intervention  techniques  that  may  translate  to  improved  case  selection  and  outcomes,  there  is  renewed  interest  in  further  investigation  of  this  treatment  approach.