The following is an excerpt....
BASICS
Description
- Placement of fetal shunt:
- A shunt allows drainage of the malformation into the amniotic
cavity.
- Fetoscopy:
- Trocar is placed in the amniotic cavity under direct US guidance.
- Fetal diagnosis or intervention is performed with direct visualization.
- Fetoscopic laser ablation is used to treat twin-twin transfusion
syndrome (see topic).
- Open fetal surgery:
- Uterus is exposed and direct access to amniotic cavity is gained
through uterine incision.
- EXIT procedure:
- High-risk fetus is delivered by cesarean section; prior to delivery
the fetal airway and/or venous access is obtained while utero placental gas
exchange is preserved.
- Fetal cardiac procedures:
- Percutaneous transthoracic pacemakers can be placed for fetal
arrhythmias. (Note: Currently limited success with this technique.)
- Open fetal surgery has ...
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