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Intrauterine fetoscopic closure of myelomeningocele: Clinical case and literature review

Authors :
Miroslaw Wielgos
Brigita Vaigauskaitė
Przemyslaw Kosinski
Povilas Varnelis
Jelena Volochovič
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.

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