Implementation and Assessment of a Laparotomy-Assisted Three-Port Fetoscopic Spina Bifida Repair Program

Implementation and Assessment of a Laparotomy-Assisted Three-Port Fetoscopic Spina Bifida Repair Program

Open spina bifida (OSB) is a congenital, non-lethal malformation with multifactorial etiology. Fetal therapy can be offered under certain conditions to parents after accurate prenatal diagnostic and interdisciplinary counseling. Since the advent of prenatal OSB surgery, various modifications of the...

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Bibliographic Details
Published in:Journal of clinical medicine Vol. 12; no. 15; p. 5151
Main Authors: Keil, Corinna, Köhler, Siegmund, Sass, Benjamin, Schulze, Maximilian, Kalmus, Gerald, Belfort, Michael, Schmitt, Nicolas, Diehl, Daniele, King, Alice, Groß, Stefanie, Sutton, Caitlin D, Joyeux, Luc, Wege, Mirjam, Nimsky, Christopher, Whitehead, Wiliam E, Uhl, Eberhard, Huisman, Thierry A G M, Neubauer, Bernd A, Weber, Stefanie, Hummler, Helmut, Axt-Fliedner, Roland, Bedei, Ivonne
Format: Journal Article
Language:English
Published: Switzerland MDPI AG 07-08-2023
MDPI
Subjects:
Care and treatment
Clinical medicine
Fetoscopy
Fetuses
Gestational age
Hydrocephalus
Interdisciplinary aspects
Laparoscopy
Laparotomy
Magnetic resonance imaging
Methods
Neurosurgery
Postpartum period
Spina bifida
Surgery
Training
Ultrasonic imaging
Uterus
Germany
United States > US
Spain
fetal therapy
open spina bifida
fetoscopic repair
standardized training
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Description
Summary:Open spina bifida (OSB) is a congenital, non-lethal malformation with multifactorial etiology. Fetal therapy can be offered under certain conditions to parents after accurate prenatal diagnostic and interdisciplinary counseling. Since the advent of prenatal OSB surgery, various modifications of the original surgical techniques have evolved, including laparotomy-assisted fetoscopic repair. After a two-year preparation time, the team at the University of Giessen and Marburg (UKGM) became the first center to provide a three-port, three-layer fetoscopic repair of OSB via a laparotomy-assisted approach in the German-speaking area. We point out that under the guidance of experienced centers and by intensive multidisciplinary preparation and training, a previously described and applied technique could be transferred to a different setting.
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ISSN:2077-0383
2077-0383
DOI:10.3390/jcm12155151