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Surgical Endoscopy
Published in: Surgical Endoscopy 10/2010

01-10-2010 | Letter-Reply

Fetoscopic surgery for spina bifida: surgically important differences between the ovine model and the clinical situation encountered with humans

Author: Thomas Kohl

Published in: Surgical Endoscopy | Issue 10/2010

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Excerpt

I thank Dr. Pedreira for her appreciation of our article describing our early clinical experience using partial amniotic carbon dioxide insufflation (PACI) during minimally invasive fetoscopic surgery [1]. We respond to some surgically important differences between her simplified fetoscopic correction technique developed with sheep fetuses [2] and the clinical situation encountered treating human fetuses with spina bifida aperta [3]. …
Literature
1.
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
2.
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
3.
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
Metadata
Title
Fetoscopic surgery for spina bifida: surgically important differences between the ovine model and the clinical situation encountered with humans
Author
Thomas Kohl
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/s00464-010-1011-4

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