Publications by authors named "Ewa I Horzelska"
Objectives: The aim of the study was to determine the effectiveness of an alternative method of open fetal surgery to prevent severe unfavorable prenatal events, both for the mother and the fetus.
Material And Methods: In this study, the previously published results for a cohort of 46 patients, who had undergone intrauterine myelomeningocele repair (IUMR) at our Center by 2014, constituted the retrospective control group (CG). The MOMS protocol had been applied for hysterotomy, with an automatic uterine stapling device.
Article Synopsis
- - The study aimed to evaluate how increased experience of a surgical team in fetal myelomeningocele (fMMC) repair impacts maternal and fetal/neonatal outcomes over different time periods.
- - Researchers compared outcomes from two cohorts: an early period (2005-2011) and a current period (2012-2015), alongside a randomized study involving 78 patients, finding low maternal morbidity and a significant drop in preterm labor rates.
- - The increased experience of the surgical team led to improved outcomes, notably a decrease in iatrogenic preterm labor from 34.1% to 23.9%, while the rate of hindbrain herniation reduction remained similar across the cohorts.