Percutaneous fetoscopic closure of spina bifida in a human fetus – Refinements in surgical approach may now avoid the need for definitive neonatal repair
T Kohl, K Tchatcheva, P Van de Vondel, A Heep, W Willinek, R Stressig, U Gembruch · Ultraschall in der Medizin - European Journal of Ultrasound · 2008 · Heft 05
Bibliografische Angaben
Zusammenfassung
Background Until recently, percutaneous fetoscopic patch coverage of fetal spina bifida in human fetuses required definitive neurosurgical closure of the lesion in the first weeks of life. Following further experience and refinements of our percutaneous fetoscopic operative approach, we here report the first case where after percutanous fetoscopic closure of the malformation definitive postnatal surgery was not required. Case In a 33 year old G1-P0, a fetal lumbo-sacral spina bifida accompanied by moderate ventricular dilatation, as well as lemon- and banana-signs was detected at 21 weeks of gestation. Following…
