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01-10-2010 | Letter

Keeping it simple: a “two-step” approach for the fetoscopic correction of spina bifida

Author: Denise Araújo Lapa Pedreira

Published in: Surgical Endoscopy | Issue 10/2010

Excerpt

I have read with great interest the article by Kohl et al. [1]. We believe the article has many valuable lessons, and we would like to comment on the surgical technique used by the authors to close spina bifida defects [1, 2]. Our objective is to introduce the concept of a two-step approach for fetoscopic correction of this abnormality. …

Kohl T, Tchatcheva K, Weinbach J, Hering R, Kozlowski P, Stressig R, Gembruch U (2010) Partial amniotic carbon dioxide insufflation (PACI) during minimally invasive fetoscopic surgery: early clinical experience in humans. Surg Endosc 24(2):432–444CrossRefPubMed

Kohl T, Tchatcheva K, Merz W, Wartenberg HC, Heep A, Müller A, Franz A, Stressig R, Willinek W, Gembruch U (2009) Percutaneous fetoscopic patch closure of human spina bifida aperta: advances in fetal surgical techniques may obviate the need for early postnatal neurosurgical intervention. Surg Endosc 23:890–895CrossRefPubMed

Abou-Jamra RC, Oliveira RCS, Valente PR, Araújo A, Saldiva PH, Pedreira DAL (2009) Simplified correction of a meningomyelocele-like defect in the ovine fetus. Acta Cir Bras 24:239–244CrossRefPubMed

Pedreira DA, Valente PR, Abou-Jamra RC, Pelarigo CL, Silva LM, Goldenberg S (2003) Successful fetal surgery for the repair of a ‘myelomeningocele-like’ defect created in the fetal rabbit. Fetal Diagn Ther 18:201–206CrossRefPubMed

Pedreira DA, Sanchez e Oliveira Rde C, Valente PR, Abou-Jamra RC, Araújo A, Saldiva PH (2007) Validation of the ovine fetus as an experimental model for the human myelomeningocele defect. Acta Cir Bras 22:168-173

Oliveira RCS, Valente PR, Abou-Jamra RC, Araújo A, Saldiva PH, Pedreira DAL (2007) Comparison of two interface materials for the in utero repair of fetal meningomielocele in sheep model. Acta Cir Bras 22:174–181

Pedreira DAL, Oliveira RCS, Valente PR, Abou-Jamra RC, Araújo A, Saldiva PH (2008) Gasless fetoscopy: a new approach for endoscopic closure of a lumbar skin defect in fetal sheep. Fetal Diagn Ther 23:293–298CrossRefPubMed

Meuli M, Meuli-Simmen C, Hutchins GM, Seller MJ, Harrison MR, Adzick NS (1997) The spinal cord lesion in human fetuses with myelomeningocele: implications for fetal surgery. J Pediatr Surg 32:448–452CrossRefPubMed

Bruner JP, Richards WO, Tulipan NB, Arney TL (1999) Endoscopic coverage of fetal myelomeningocele in utero. Am J Obstet Gynecol 180:153–158CrossRefPubMed

Title: Keeping it simple: a “two-step” approach for the fetoscopic correction of spina bifida
Author: Denise Araújo Lapa Pedreira
Publication date: 01-10-2010
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 10/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-010-1006-1

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Keeping it simple: a “two-step” approach for the fetoscopic correction of spina bifida

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