Keywords
Hernia diafragmática
Obstetricia
Fetoscopia
Enfermedades fetales Myelomeningocele
Diaphragmatic hernia
Obstetrics
Fetoscopy
Fetal diseases
How to Cite
Abstract
This narrative review briefly highlights historical aspects on the evolution, development and application of the principal techniques in fetal surgery. It describes the use of intrauterine surgery in certain fetal pathologies such as complications in monochorionic pregnancies, congenital diaphragmatic hernia, spina bifida, lower urinary tract obstruction and fetal lung lesions. In each case, available surgical techniques are explored together with its clinical use. Finally, the implementation of fetal surgery in Colombia is discussed, a new field in the Organización Sanitas Internacional, that is hoping to become a national as well as international reference center.
References
Jancelewicz T, Harrison MR. A History of Fetal Surgery. Clin Perinatol 2009; 36:227-36. https://doi.org/10.1016/j.clp.2009.03.007
Liley AW. Intrauterine transfusion of fetus in haemolytic disease. Br Med J 1963; 2:1107. https://doi.org/10.1136/bmj.2.5365.1107
Rossi A. Indications and outcomes of intrauterine surgery for fetal malformations. Current Opinion in Obstetrics and Gynaecology 2010; 22:159-6. https://doi.org/10.1097/GCO.0b013e3283374ab5
Blickstein I, Keith LG. Prenatal assessment of multiple pregnancy. London. Informa 2007; 1:15-44. https://doi.org/10.1201/b13988-2
Machin GA, Keith LG. An atlas of multiple pregnancy: biology and pathology. New York: Parthenon Publishing Group; 1999.
Harkness UF, Crombleholme TM. Twin-twin transfusion syndrome: Where do we go from here? Semin Perinatol 2005; 29:296-304. https://doi.org/10.1053/j.semperi.2005.10.001
Yamamoto M, El Murr L, Robyr R et al. Incidence and impact of peri-operative complications in 175 fetoscopy-guided laser coagulations of chorionic plate anastomoses in fetofetal transfusion syndrome before 26 weeks of gestation. Am J Obstet Gynecol 2005; 193:1110-111. https://doi.org/10.1016/j.ajog.2005.07.003
Ville Y, Hyett K, Hecher K et al. Preliminary experience with endoscopic laser surgery for severe twin-twin transfusion syndrome. N Engl J Med 1995; 2:224-27. https://doi.org/10.1056/NEJM199501263320404
Quintero R, Morales W, Mendoza G et al. Selective photocoagulation of placental vessels in twin-twin transfusion syndrome: evolution of a surgical technique. Obstet Gynecol Surv 1998; 53:97-103. https://doi.org/10.1097/00006254-199812010-00001
Wong AE, Sepulveda W. Acardiac anomaly: current issues in prenatal assessment and treatment. Prenat Diagn 2005; 25:796-806. https://doi.org/10.1002/pd.1269
Moore TR, Gale S, Benirschke K. Perinatal outcome of 49 pregnancies complicated by acardiac twinning. Am J Obstet Gynecol 1990; 163:907-12. https://doi.org/10.1016/0002-9378(90)91094-S
Larry Rand, Hanmin Lee. Complicated Monochorionic Twin Pregnancies: Updates in Fetal Diagnosis and Treatment. Clin Perinatol 2009; 36:417-30. https://doi.org/10.1016/j.clp.2009.03.014
Mounira Habli, Yen Lim, Timothy Crombleholme. Twin-to-Twin Transfusion Syndrome: A Comprehensive Update. Clin Perinatol 2009; 36:391-416. https://doi.org/10.1016/j.clp.2009.03.003
Butler N, Claireaux AE. Congenital diaphragmatic hernia as a cause of perinatal mortality. Lancet 1962; 1:659-63. https://doi.org/10.1016/S0140-6736(62)92878-7
Jani J, Keller RL, Benachi A, et al. Prenatal prediction of survival in isolated leftsided diaphragmatic hernia. Ultrasound Obstet Gynecol 2006;27:18-22. https://doi.org/10.1002/uog.2688
Harrison MR, Adzick NS, Bullard KM, et al. Correction of congenital diaphragmatic hernia in utero. VII. A prospective trial. J Pediatr Surg 1997;32:1637-42. https://doi.org/10.1016/S0022-3468(97)90472-3
Harrison MR, Mychaliska GB, Albanese CT, et al. Correction of congenital diaphragmatic hernia in utero. IX. Fetuses with poor prognosis (liver herniation and low lung-to-head ratio) can be saved by fetoscopic temporary tracheal occlusion. J Pediatr Surg 1998;33:1017-22. https://doi.org/10.1016/S0022-3468(98)90524-3
EuroSTEC. Available at: www.eurostec.eu. Accessed June 17, 2009.
Klaritsch P, Albert K, Van Mieghem T, et al. Instrumental requirements for minimal invasive fetal surgery. BJOG 2009;116:188-97. https://doi.org/10.1111/j.1471-0528.2008.02021.x
Jani J, Gratacos E, Greenough A, et al. Percutaneous fetal endoscopic tracheal occlusion (FETO) for severe left-sided congenital diaphragmatic hernia. Clin Obstet Gynecol 2005;48:910-22. https://doi.org/10.1097/01.grf.0000184774.02793.0c
Jani JC, Nicolaides KH, Gratacos E, et al. Fetal lungto-head ratio in the prediction of survival in severe left-sided diaphragmatic hernia treated by fetal endoscopic tracheal occlusion (FETO). Am J Obstet Gynecol 2006;195:1646-50. https://doi.org/10.1016/j.ajog.2006.04.004
Eric Jelin, Hanmin Lee. Tracheal Occlusion for Fetal Congenital Diaphragmatic Hernia: The US Experience. Clin Perinatol 2009; 36:349-61. https://doi.org/10.1016/j.clp.2009.03.011
Jan A. Deprest, Eduardo Gratacos, Kypros Nicolaides, EliseDone, TimVanMieghem, Leonardo Gucciardo, Filip Claus, Anne Debeer, Karel Allegaert, Irwin Reiss, DickTibboel. Changing Perspectives on the Perinatal Management of Isolated Congenital Diaphragmatic Hernia in Europe. Clin Perinatol 2009; 36:329-47. https://doi.org/10.1016/j.clp.2009.03.004
Shinjiro Hirose, Diana L. Farmer. Fetal Surgery for Myelomeningocele. Clin Perinatol 36;2009: 431-38. https://doi.org/10.1016/j.clp.2009.03.008
Pedreira DA, Sanchez e Oliveira Rde C, Valente PR, et al. Validation of the ovine fetus as an experimental model for the human myelomeningocele defect. Acta Cir Bras 2007;22(3):168-73. https://doi.org/10.1590/S0102-86502007000300003
Bouchard S, Davey MG, Rintoul NE, et al. Correction of hindbrain herniation and anatomy of the vermis after in utero repair of myelomeningocele in sheep. J Pediatr Surg 2003;38(3):451-8 [discussion: 451-8]. https://doi.org/10.1053/jpsu.2003.50078
Bruner JP, Richards WO, Tulipan NB, et al. Endoscopic coverage of fetal mielomeningocele in utero. Am J Obstet Gynecol 1999;180(Pt. 1):153-8. https://doi.org/10.1016/S0002-9378(99)70167-5
Bruner JP, Tulipan NB, Richards WO, et al. In utero repair of myelomeningocele: a comparison of endoscopy and hysterotomy. Fetal Diagn Ther 2000;15(2):83-8. https://doi.org/10.1159/000020981
Farmer DL, von Koch CS, Peacock WJ, et al. In utero repair of myelomeningocele: experimental pathophysiology, initial clinical experience, and outcomes. Arch Surg 2003;138(8):872-8. https://doi.org/10.1001/archsurg.138.8.872
Tulipan N, Bruner JP, Hernanz-Schulman M, et al. Effect of intrauterine mielomeningocele repair on central nervous system structure and function. Pediatr Neurosurg 1999;31(4):183-8. https://doi.org/10.1159/000028859
Holmes NM, Nguyen HT, Harrison MR, et al. Fetal intervention for myelomeningocele: effect on postnatal bladder function. J Urol 2001;166(6):2383-6. https://doi.org/10.1016/S0022-5347(05)65596-6
Dinneen MD, Duffy PG. Posterior urethral valves. Br J Urol 1996; 78:275-281. https://doi.org/10.1046/j.1464-410X.1996.10324.x
Qureshi F, Jacques SM, Seifman B, et al. In utero fetal urine analysis and renal histology do correlate with the outcome in fetal obstructive uropathies. Fetal Diagn Ther 1996;11:306-12. https://doi.org/10.1159/000264329
Harrison MR, Golbus MS, Filly RA, et al. Fetal surgery for congenital hydronephrosis. N Engl J Med 1982; 306:591-93. https://doi.org/10.1056/NEJM198203113061006
Serena Wu, MDa,Mark Paul Johnson. Fetal Lower Urinary Tract Obstruction. Clin Perinatol 2009; 36: 377-90. https://doi.org/10.1016/j.clp.2009.03.010
Biard JM, Johnson MP, Carr MC, et al. Long-term outcomes in children treated by prenatal vesicoamniotic shunting for lower urinary tract obstruction. Obstet Gynecol 2005; 106:503-508. https://doi.org/10.1097/01.AOG.0000171117.38929.eb
Longaker MT, Laberge JM, Dansereau J, Langer JC, Cromblehome TM, Callen PW, Golbus MS, Harrison MR: Primary fetal hydrothorax: natural history and management. J Pediatr Surg 1989; 24:573-76. https://doi.org/10.1016/S0022-3468(89)80509-3
Smith RP, Illanes S, Denbow ML, et al: Outcome of fetal pleural effusions treated by thoracoamniotic shunting. Ultrasound Obstet Gynecol 2005; 26:63-6. https://doi.org/10.1002/uog.1883
Nicolaides KH, Azar GB: Thoraco-amniotic shunting. Fetal Diagn Ther 1990; 5:153-64. https://doi.org/10.1159/000263586
Sepulveda W, Galindo A, Sosa A, et al: Intrathoracic dislodgement of pleuroamniotic shunt. Three case reports with long-term follow- up. Fetal Diagn Ther 2005; 20:102-5. https://doi.org/10.1159/000082431
N. Scott Adzick. Management of Fetal Lung Lesions. Clin Perinatol 2009; 36:363-76. https://doi.org/10.1016/j.clp.2009.03.001
Wilson RD, Baxter JK, Johnson MP, et al. Thoracoamniotic shunts: fetal treatment of pleural effusions and congenital cystic adenomatoid malformations. Fetal Diagn Ther 2004;19:413-20. https://doi.org/10.1159/000078994
Cavoretto P, Molina F, Poggi S, Davenport M, Nicolaides KH. Prenatal diagnosis and outcome of echogenic fetal lung lesions. Ultrasound Obstet Gynecol 2008; 32: 769-783. https://doi.org/10.1002/uog.6218
Morris RK, Selman TJ, Harbidge A, Martin WI, Kilby MD. Fetoscopic laser coagulation for severe twinto-twin transfusion syndrome: factors influencing perinatal outcome, learning curve of the procedure and lessons for new centres. BJOG 2010; 117(11):1350-7." https://doi.org/10.1111/j.1471-0528.2010.02680.x