Antenatally Diagnosed Surgical Conditions: Fetus As Our Patient
- 103 Downloads
In today’s era of improved antenatal care and screening modalities (3D high-resolution fetal ultrasound, fetal magnetic resonance imaging, fetal echocardiography, maternal serum markers and fetal blood sampling), an early diagnosis of surgical fetal abnormalities is routinely possible. A thorough knowledge about the incidence of such defects, the means of detection and evaluation, the scope of fetal intervention, postnatal management and long-term outcomes of common surgical conditions diagnosed antenatally is essential. This knowledge would not only help in proper patient care and management but also to ensure appropriate counselling of the expectant parents. This article highlights the fetal anomalies which are amenable to some form of fetal intervention from a pediatric surgical perspective as also those which can be treated after birth.
KeywordsFetal surgical anomalies Fetal intervention Congenital Malformations Antenatal diagnosis
KK: Collection of data and preparation of draft manuscript; AKD: Preparation of manuscript; VB: Conceptualising, planning, finalising the paper and will act as guarantor for this paper.
Compliance with Ethical Standards
Conflict of Interest
- 1.Gupta DK, Sharma S, Gupta M. Outcome of antenatally referred congenital surgical anomalies—a pediatric surgeon’s perspective. J Pediatr Surg Spec. 2010;4:1–9.Google Scholar
- 3.Bianchi DW, Crombleholme TM, D'Alton ME, Malone FD. Fetology: Diagnosis and Management of the Fetal Patient. 2nd ed. New York: The Mc Graw Hill; 2000.Google Scholar
- 24.Morris RK, Malin GL, Quinlan-Jones E, et al. The Percutaneous shunting in Lower Urinary Tract Obstruction (PLUTO) study and randomised controlled trial: evaluation of the effectiveness, cost-effectiveness and acceptability of percutaneous vesicoamniotic shunting for lower urinary tract obstruction. Health Technol Assess. 2013;17:1–232.CrossRefGoogle Scholar