Fetoscopic repair of meningomyelocele

Michael A. Belfort, William E. Whitehead, Alireza A. Shamshirsaz, Rodrigo Ruano, Darrell L. Cass, Oluyinka O. Olutoye

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

BACKGROUND: Currently, maternal-fetal surgery for repair of myelomeningocele requires an upper-segment hysterotomy, which likely increases maternal postsurgical risks. If fetoscopic repair of myelomeningocele achieves similar or better fetal outcomes while decreasing maternal risks, it would be a better option. CASE: A patient with a fetus with a L3-S1 meningomyelocele underwent a laparotomy and fetoscopic repair using a two-port, in-CO2 approach at 23 2/7 weeks of gestation. The neonate was delivered at 30 6/7 weeks of gestation by lower segment cesarean delivery and required no further surgery, has not needed a shunt (5 months), and has normal, age-appropriate neurologic function. CONCLUSION: This innovative fetoscopic approach may offer an alternative to open fetal surgery and may prevent the need for hysterotomy and cesarean delivery in index and subsequent pregnancies.

Original languageEnglish (US)
Pages (from-to)881-884
Number of pages4
JournalObstetrics and Gynecology
Volume126
Issue number4
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Belfort, M. A., Whitehead, W. E., Shamshirsaz, A. A., Ruano, R., Cass, D. L., & Olutoye, O. O. (2015). Fetoscopic repair of meningomyelocele. Obstetrics and Gynecology, 126(4), 881-884. https://doi.org/10.1097/AOG.0000000000000835