Fetal endoscopic surgery: Lessons learned and trends reviewed

Steven F. Fowler, Roman M. Sydorak, Craig T. Albanese, Diana L Farmer, Michael R. Harrison, Hanmin Lee

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Purpose: Fetal surgery is performed increasingly with minimal access approaches. The authors report their experience with fetal endoscopic procedures (fetendo) with emphasis on changing techniques and outcome trends. Methods: All fetal endoscopic cases performed at a single institution from January 1996 to August 2001 were reviewed (n = 66). Cases were examined with respect to year performed, type of operation, operative data, and outcome. Results: Twin-twin transfusion syndrome (26 cases) and congenital diaphragmatic hernia (35 cases) were the most common diseases treated. From 1996 to 2001, there was a decrease in average operating time (256 to 127 minutes [P = .0006]), number of ports utilized (3.8 to one [P = .00001]), pump volume (28.7 to 2.7 L [P = .00001]), and estimated blood loss (408 to 29 mL [P = .008]). In addition, port size changed from 10 mm to 5 mm. Chorioamniotic separation (31 of 66), premature rupture of membranes (32 of 66), chorioamnionitis (12 of 66), and fetal death (10 of 66) continued to be significant complications. Conclusions: Fetal endoscopic surgery over the last 6 years has evolved toward shorter operating time, the use of smaller and fewer ports, decreased pump fluid exchange, and decreased blood loss, with the types of cases centered on twin-twin transfusion syndrome and congenital diaphragmatic hernia.

Original languageEnglish (US)
Pages (from-to)1700-1702
Number of pages3
JournalJournal of Pediatric Surgery
Volume37
Issue number12
DOIs
StatePublished - Dec 1 2002

Fingerprint

Fetofetal Transfusion
Chorioamnionitis
Fetal Death
Rupture
Membranes
Congenital Diaphragmatic Hernias

Keywords

  • Congenital diaphragmatic hernia
  • Fetal surgery
  • Fetendo
  • Twin-twin transfusion syndrome

ASJC Scopus subject areas

  • Surgery

Cite this

Fowler, S. F., Sydorak, R. M., Albanese, C. T., Farmer, D. L., Harrison, M. R., & Lee, H. (2002). Fetal endoscopic surgery: Lessons learned and trends reviewed. Journal of Pediatric Surgery, 37(12), 1700-1702. https://doi.org/10.1053/jpsu.2002.36699

Fetal endoscopic surgery : Lessons learned and trends reviewed. / Fowler, Steven F.; Sydorak, Roman M.; Albanese, Craig T.; Farmer, Diana L; Harrison, Michael R.; Lee, Hanmin.

In: Journal of Pediatric Surgery, Vol. 37, No. 12, 01.12.2002, p. 1700-1702.

Research output: Contribution to journalArticle

Fowler, SF, Sydorak, RM, Albanese, CT, Farmer, DL, Harrison, MR & Lee, H 2002, 'Fetal endoscopic surgery: Lessons learned and trends reviewed', Journal of Pediatric Surgery, vol. 37, no. 12, pp. 1700-1702. https://doi.org/10.1053/jpsu.2002.36699
Fowler, Steven F. ; Sydorak, Roman M. ; Albanese, Craig T. ; Farmer, Diana L ; Harrison, Michael R. ; Lee, Hanmin. / Fetal endoscopic surgery : Lessons learned and trends reviewed. In: Journal of Pediatric Surgery. 2002 ; Vol. 37, No. 12. pp. 1700-1702.
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