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- W4295772017 abstract "A 32-year-old, gravida 1, was referred to our fetal surgery centre, due to double open spina bifida (OSB) defect (C4-T1 and L2-S1) with ultrasound findings of Chiari II malformation, and mild bilateral ventriculomegaly. Preoperative evaluation included normal microarray analysis, advanced fetal neurosonography, echocardiography, normal cervical length and psychological evaluation. Open fetal microneurosurgery for OSB repair was performed at 28.0 weeks with general maternal anesthesia. The cervical defect was first repaired through a 2.0 cm hysterotomy and then, the fetus was positioned by internal version to allow access to the lumbosacral defect by the same hysterotomy. At 31 weeks of gestation, the patient underwent Caesarean delivery following premature rupture of membranes. After one week of neonatal hospitalisation, the baby survived and is doing well at 7 months of age without need of postnatal repair or placement of ventriculoperitoneal shunting. In conclusion, open microneurosurgery for double intrauterine OSB repair is feasible throughout the same single hysterotomy. Fetuses with double OSB defect may be considered into the clinical protocol for open fetal surgery." @default.
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- W4295772017 date "2022-09-01" @default.
- W4295772017 modified "2023-09-27" @default.
- W4295772017 title "EP21.10: Open fetal microneurosurgery for intrauterine repair of double open spina bifida defect: is it possible with a single hysterotomy?" @default.
- W4295772017 doi "https://doi.org/10.1002/uog.25529" @default.
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