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- W4387262802 abstract "Endoscopic repair has gained great popularity because of maternal safety and similar neonatal outcomes to that of the open surgery. The present report summarises the results. Retrospective analysis of cases, from first case in 2018 to 2022. 24 pregnancies were operated in our institution. The first 22 were operated by the Safer technique, the last two had minilaparotomy for a direct optic 5mm trocard insertion in the uterus and later suture of the uterine wall. All fetuses survived, without perinatal deaths. Only two cases the operation could not be concluded because of lack of access to the defect. Three cases had intraoperative neumoperitoneum, that required a verres needle or periumbilical mini-lap for gas discharge. Mean surgery duration was 164mins (95-300), GA at surgery was 27 weeks. Ventriculoperitoneal shunt was required in 6 (25%). One of these was in the incomplete surgery. Neurological follow-up is adequate, though not long enough in many children. No maternal blood transfusion or ICU hospitalisation in these cases. Rupture of the membranes occurred in 10 cases, and 8 had preterm delivery < 32 weeks. Endoscopic repair in our institution is being performed safely, without maternal morbidity. Neonatal outcomes in terms of V-P shunt is according to that of open surgery. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
- W4387262802 created "2023-10-03" @default.
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- W4387262802 date "2023-10-01" @default.
- W4387262802 modified "2023-10-18" @default.
- W4387262802 title "EP09.11: Endoscopic prenatal MMC repair in Universidad de los Andes, Chile" @default.
- W4387262802 doi "https://doi.org/10.1002/uog.26759" @default.
- W4387262802 hasPublicationYear "2023" @default.
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