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Fetoscopic surgery: where are we today? Thomas Kohl Purpose of review Introduction Since the early 1990s, advances in endoscopic equipment and Open fetal surgery has been introduced by Michael the commercial availability of micro-catheters, mini-balloons, tiny Harrison and other investigators since the early 1980s in laser fibers and other ingenious tools have set the trend toward order to improve the grim prognosis of human fetuses the development of minimally invasive fetoscopic surgical with severe congenital malformations [1]. Since the early techniques for the treatment of some congenital malformations 1990s, advances in endoscopic equipment have set the that progress in severity over the course of gestation and may trend toward the development of minimally invasive destroy entire organ systems of the unborn. The purpose of this fetoscopic surgery. The purpose of this review is to review is to provide a state-of-the-art overview of these new provide a state-of-the-art overview of this approach for procedures for the anesthesiologist. the anesthesiologist. Recent findings Procedures like diagnostic fetoscopies, laser coagulation of Open fetal surgery inter-twin placental vascular connections in twin–twin Until today, for some fetal surgical procedures, most transfusion syndrome, fetal tracheal balloon occlusion in commonly fetal spina bifida repair, maternal laparotomy diaphragmatic
Current Opinion in Anesthesiology – Wolters Kluwer Health
Published: Aug 1, 2004
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