Open and closed fetal surgery in modern obstetrics


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Since the 1980s, improved prenatal diagnosis and animal studies have led to the rapid development of fetal surgery. Despite fetal surgery’s advances in the treatment of complications of monochorial multiple pregnancy, no progress in congenital diseases, such as myelomeningocele and hydrocephalus, has been achieved at this stage. Whether intrauterine procedures for other abnormalities are expedient is discussable because of few observations described in the literature, undetermined patient selection criteria, and no randomized clinical trials. These congenital diseases include diaphragmatocele, congenital heart diseases with valve obstruction, obstructive lesions of the lower urinary tract, and sacrococcygeal teratoma. The complexity of the problem and possible complications are limiting factors in the extensive introduction of intrauterine operations into daily practice. Today fetal surgery is a reality, but requires that investigations of the efficiency and safety of the proposed interventions should be continued.

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作者简介

M. Abramyan

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: m_abramyan@oparina4.ru
MD, PhD, DM, senior research fellow, pediatric cardiac surgeon, Neonatal Surgery Department Academician

K. Gladkova

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: k_gladkova@oparina4.ru
Kristina Gladkova, MD, PhD, research fellow, Obstetrics Pathology Department Academician

K. Kostyukov

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: k_kostyukov@oparina4.ru
MD, Department of the Functional Diagnosis Academician

N. Tetruashvili

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: n_tetruashvili@oparina4.ru
MD, PhD, DM, Head of the Obstetrics Pathology Department Academician

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