Fetal surgery

Author:

Sampat K1ORCID,Losty P D12

Affiliation:

1. Department of Paediatric Surgery, Alder Hey Children’s Hospital, Liverpool, UK

2. Institute of Child Health, Alder Hey Children’s Hospital, Liverpool, UK

Abstract

Abstract Fetal medicine is a super-specialty enterprise and a technology-driven field. The growth and interest in fetal surgery can be largely attributed to advances in fetal imaging and bespoke instruments for in utero intervention. Previously fatal fetal conditions are now being treated using open surgery, minimally invasive procedures, and percutaneous fetal technologies. Several fetal conditions, including myelomeningocele and twin-to-twin transfusion syndrome, have been tested rigorously in RCTs. However, as the specialty of fetal surgery grows, a robust evidence base with long-term follow-up is obligatory for every procedure. This article offers an overview of fetal surgery and antenatal intervention. As more cutting edge therapies come into clinical practice, growing public opinion and medical ethics will play a significant role in the future of this multidisciplinary specialty.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference45 articles.

1. Hypoplastic lungs in fetal lambs with surgically produced congenital diaphragmatic hernia;de Lorimier;Surgery,1967

2. Fetal surgery for congenital hydronephrosis;Harrison;N Engl J Med,1981

3. Fetoscopic surgery: encouraged by clinical experience and boosted by instrument innovation;Deprest;Semin Fetal Neonatal Med,2006

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