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1,912 results
  • Distance Traveled to a Fetal Center and Pregnancy Outcomes in Twin-Twin Transfusion Syndrome. [Journal Article]
    Fetal Diagn Ther 2019; :1-6Bergh EP, Donepudi R, … Papanna R
  • CONCLUSIONS: To our knowledge, this is the largest study to show that in TTTS, DT is not associated with GA at delivery, time interval from procedure to delivery, or neonatal survival. Although PPROM at <34 weeks was higher in the group traveling 250-499 miles, there was no significant difference in GA at delivery. While patients with advanced disease may choose to seek treatment based on proximity, traveling long distances does not adversely affect pregnancy outcomes.
  • Inadvertent Perforation of a Gravid Uterus During Laparoscopy. [Case Reports]
    JSLS 2019 Jul-Sep; 23(3)Post RJ, Friedrich E, … Chmait RH
  • CONCLUSIONS: Surgical planning of the gravid patient undergoing laparoscopic surgery should include demarcation of the most superior aspect of the uterine fundus, either via physical examination or, if not conclusive, via preoperative or intraoperative ultrasound.
  • Pruning strategies for efficient online globally consistent mosaicking in fetoscopy. [Journal Article]
    J Med Imaging (Bellingham) 2019; 6(3):035001Tella-Amo M, Peter L, … Ourselin S
  • Twin-to-twin transfusion syndrome is a condition in which identical twins share a certain pattern of vascular connections in the placenta. This leads to an imbalance in the blood flow that, if not treated, may result in a fatal outcome for both twins. To treat this condition, a surgeon explores the placenta with a fetoscope to find and photocoagulate all intertwin vascular connections. However, t…
  • Fetal giant right cervical cyst causing severe tracheal compression: A case report. [Case Reports]
    Medicine (Baltimore) 2019; 98(31):e16670Kang Y, Ma Y, … Zhao F
  • CONCLUSIONS: If an FGCC is suspected by abdominal ultrasound, a fetal MRI is recommended to assess the severity of tracheal compression before birth, if feasible. An anesthesiologist should assess the risk of intubation failure at birth according to those results. If fetal severe tracheal compression is detected and it may result in inability of intubation at birth, prenatal cervical cyst reduction under ultrasound guidance may be effective for alleviating tracheal compression at birth, if feasible. This could maximize the chance of fetal survival. Improvement of fetal short- and long-term outcomes is important.
  • Endoscopic fetal surgery for neural tube defects. [Review]
    Best Pract Res Clin Obstet Gynaecol 2019; 58:133-141Lapa DA
  • Prenatal repair of open spina bifida reduces shunt rates and may improve postnatal motor and neurodevelopmental outcomes. The hysterotomy required for the open fetal surgery leaves subsequent pregnancies at risk of uterine rupture. Hysterotomy site rupture confers significant morbidity and mortality risks for both mother and fetus. Fetoscopic repair is feasible and seems to achieve at least the s…
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