Publications by authors named "M Sanz-Cortes"
Prenatal repair of myelomeningocele (MMC) is associated with lower rates of hydrocephalus requiring ventriculoperitoneal shunt and improved motor function when compared with postnatal repair. Efforts aiming to develop less invasive surgical techniques to decrease the risk for the pregnant patient while achieving similar benefits for the fetus have led to the implementation of fetoscopic surgical techniques. While no ideal anesthetic technique for fetoscopic MMC repair has been demonstrated, we present our anesthetic approach for these repairs, including considerations for both the pregnant patient and the fetus.
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- * A total of 200 MMC cases were analyzed, showing that fetoscopic surgeries had longer median gestational ages at delivery and a significant percentage of vaginal births without major complications like uterine rupture.
- * At the 30-month mark, children who underwent fetal interventions were more likely to be able to walk independently, and fewer required surgeries for complications such as tethered cord syndrome or spinal cysts compared to those who had postnatal repairs.
Article Synopsis
- Scientists created a special testing system to study how different conditions affect the thin membranes that surround babies before they are born during a type of surgery called fetoscopy.
- They tested the membranes by blowing air at different pressures, humidity levels, and temperatures while measuring how stiff or weak they became.
- The results showed that low humidity made the membranes brittle and caused cell damage, while high humidity helped keep them strong, making this new model a useful tool to understand how surgery impacts these membranes.
Management of fetal cardiac resuscitation during fetal cardiac intervention.
Ultrasound Obstet Gynecol
October 2024