Fetoscopic approach to amniotic band syndrome

S. Christopher Derderian, Corey W. Iqbal, Ruth Goldstein, Hanmin Lee, Shinjiro Hirose

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Background Amniotic band syndrome (ABS) is an uncommon complication of pregnancy that can result in fetal demise. Methods We present our experience with fetoscopic amniotic band release. Results Five patients underwent fetoscopic amniotic band release for preoperatively diagnosed ABS involving at least one extremity. Four of five patients were found to have involvement of the umbilical cord at the time of fetoscopy. One of these four did not have the band released and underwent fetal demise at 24 weeks. All four survivors had good functional outcomes of affected limbs. Two patients developed membrane separation and had preterm deliveries at 32 weeks gestation whereas the other two carried to term. No maternal complications were noted. Conclusions Fetoscopic amniotic band release is safe. Umbilical cord involvement is difficult to assess preoperatively, but when it is present should be treated to reduce the risk of fetal demise.

Original languageEnglish (US)
Pages (from-to)359-362
Number of pages4
JournalJournal of Pediatric Surgery
Volume49
Issue number2
DOIs
StatePublished - Feb 1 2014

Keywords

  • ABS
  • Amniotic band syndrome
  • Fetal intervention
  • Fetal surgery
  • Fetoscopy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Fingerprint Dive into the research topics of 'Fetoscopic approach to amniotic band syndrome'. Together they form a unique fingerprint.

  • Cite this