Fetal Surgery

Benjamin A. Keller, Shinjiro Hirose, Diana L Farmer

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Fetal surgery is now offered to improve the prognosis of fetal patients with nonlethal conditions, whereas in the past only fetal patients with lethal defects were considered suitable candidates for fetal intervention. Open and minimal-access techniques for fetal surgery continue to evolve as the goal of improving feasibility and safety spurs constant innovation. However, the techniques used today for administering anesthesia, monitoring both the mother and fetus intraoperatively, and maintaining fetal homeostasis are relatively standardized. These aspects of fetal surgery and the principal routes of fetal access are discussed in this chapter. Hemorrhage is a source of maternal morbidity associated with fetal surgery. Optimal treatments for twin-to-twin transfusion syndrome (TTTS) no longer remain controversial, with serial large-volume amniocentesis and fetoscopic laser coagulation each having their particular advantages. Most prenatally diagnosed heart anomalies can be successfully treated after birth.

Original languageEnglish (US)
Title of host publicationGenetic Disorders and the Fetus: Diagnosis, Prevention and Treatment: Seventh Edition
Publisherwiley
Pages989-1010
Number of pages22
ISBN (Electronic)9781118981559
ISBN (Print)9781118981528
DOIs
StatePublished - Jan 1 2016

Keywords

  • Anesthesia
  • Cardiac anomalies
  • Minimal access fetal surgery
  • Open fetal surgery
  • Twin reversed arterial perfusion sequence
  • Twin-to-twin transfusion syndrome

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Fetal Surgery'. Together they form a unique fingerprint.

  • Cite this

    Keller, B. A., Hirose, S., & Farmer, D. L. (2016). Fetal Surgery. In Genetic Disorders and the Fetus: Diagnosis, Prevention and Treatment: Seventh Edition (pp. 989-1010). wiley. https://doi.org/10.1002/9781118981559.ch28