A major abdominal
surgery, open fetal surgery involves the repair or correction of a disease or
defect in a fetus.
Also Known As:
- Fetal surgery
- Fetal intervention
- Intrauterine surgery
Conditions Treated with Open Fetal Surgery:
Open fetal surgery
may be performed in cases of myelomeningocele, tracheal occlusion, cervical
teratoma, sacrococcygeal teratoma, fetal hydrops, congenital diaphragmatic
hernia and congenital cystic adenomatoid malformation, among others.
For some
conditions, extracorporeal membrane oxygen and betamethasone may be used as
non-surgical alternatives to open fetal surgery. Some conditions can be treated
via postnatal cyst drainage and postnatal lobectomy as surgical alternatives.
Anesthesia with Open Fetal Surgery:
Open fetal surgery
is performed under general anesthesia, which means that the patient is asleep
and completely unaware during the procedure.
Potential Complications from Open Fetal
Surgery:
Possible risks for
the mother following open fetal surgery include infertility, wound infection,
uterine infection, amniotic fluid leak, bleeding, psychological stress and a
negative reaction to the anesthesia. It is also possible for a cesarean section
to be necessary for this and future pregnancies, or to experience premature
labor and delivery or fetal death.
Prognosis after Open Fetal Surgery:
In many cases, the
benefits of performing open fetal surgery outweigh the risks.