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Intrauterine fetoscopic closure of myelomeningocele: Clinical case and literature review
- Source :
- Taiwanese journal of obstetrics & gynecology, Taipei : Elsevier Taiwan, 2021, vol. 60, no. 4, p. 766-770, Taiwanese Journal of Obstetrics & Gynecology, Vol 60, Iss 4, Pp 766-770 (2021)
- Publication Year :
- 2021
-
Abstract
- Objective Spina bifida (SB) is a congenital birth defect defined as a failure of the neural tube formation during the embryonic development phase. Fetoscopic repair of SB is a novel treatment technique that allows to close spinal defect early and prevent potential neurological and psychomotor complications. Case report We present a case report of a 32-year-old-multigravida whose fetus was diagnosed with lumbosacral myelomeningocele at 23rd week. Fetoscopic closure of MMC was performed at 26 weeks. At 32 weeks, due to premature amniorrhexis and placental abruption, an emergency C-section was performed. Newborn's psychomotor development was within normal limits. Conclusion Although intrauterine treatment has an increased risk of premature labor, placental abruption, prenatal closure is associated with improved postnatal psychomotor development. Prenatal surgery decreases the risk of Arnold-Chiari II malformation development and walking disability. Fetoscopic closure of SB is becoming a choice for treatment with beneficial outcomes for mother and fetus.
- Subjects :
- Adult
medicine.medical_specialty
Fetal Membranes, Premature Rupture
Meningomyelocele
Fetoscopic surgery
medicine.medical_treatment
Pregnancy
medicine
Humans
Closure (psychology)
Spina bifida
Abruptio Placentae
Spinal Dysraphism
Psychomotor learning
Fetal surgery
Fetus
Placental abruption
business.industry
Cesarean Section
Fetoscopy
Infant, Newborn
Lumbosacral Region
Obstetrics and Gynecology
Gynecology and obstetrics
medicine.disease
Surgery
fetal surgery
fetoscopic surgery
myelomeningocele
spina bifida
Pregnancy Trimester, Second
RG1-991
Female
Clinical case
Myelomeningocele
business
Lumbosacral joint
Subjects
Details
- Language :
- English
- ISSN :
- 10284559 and 18756263
- Database :
- OpenAIRE
- Journal :
- Taiwanese journal of obstetrics & gynecology, Taipei : Elsevier Taiwan, 2021, vol. 60, no. 4, p. 766-770, Taiwanese Journal of Obstetrics & Gynecology, Vol 60, Iss 4, Pp 766-770 (2021)
- Accession number :
- edsair.doi.dedup.....dc9a6c866a558e458882f0601fd985da