AI 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.
Article Abstract
Objectives: We aimed to show how increased experience of a surgery team in fMMC repair influences maternal and fetal/neonatal outcomes.
Material And Methods: We compare perinatal results of fMMC repair in our Fetal Surgery Center (FSC) in cohort groups for the early period (2005-2011 year; previous - PFSC, n = 46) and current period (2012-2015 year; current - CFSC, n = 74) to results of the randomized Management of Myelomeningocele Study (MOMS, 78 patients).
Results: The maternal morbidity due to fMMC repair was low and there was no difference comparing CFSC to PFSC and MOMS. The frequency of iatrogenic preterm labor (iPTL) ≤ 30 weeks of gestation decreased from 34.1% in PFSC to 23.9% in CFSC. Iatrogenic preterm premature rupture of membranes (iPPROM) was a common complication after fMMC repair in all cohorts. The total reduction rate of hindbrain hernation (HH) was similar in CFSC - 90.3% and PFSC - 82.1%.
Conclusions: The increasing experience of our surgery team in fMMC repair majorly decreased the risk of iPTL.
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| http://dx.doi.org/10.5603/GP.2020.0028 | DOI Listing |
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