Fetal Surgery



The extraordinary advances in molecular genetics and the ongoing technologic innovations in medical imaging now make it possible to prenatally diagnose virtually any condition with a high level of confidence. This has afforded the opportunity to consider prenatal treatment for an ever-expanding list of conditions and to avoid or minimize irreparable organ injury or death that can occur if treatment is delayed until after delivery. Fetal therapy has expanded the list of conditions that are considered for medical treatment including high-risk congenital pulmonary airway malformations (CPAM), fetal arrhythmias, congenital adrenal hyperplasia (CAH), and congenital diaphragmatic hernia (CDH). The indications for open fetal surgery have expanded with the development of interventions for myelomeningocele (MMC), sacrococcygeal teratoma (SCT), bladder outlet obstruction (BOO), and CPAM. Perhaps the most striking area of growth in fetal intervention has come in the field of fetoscopic techniques, which are used to treat conditions such as twin–twin transfusion syndrome (TTTS), twin reversed arterial perfusion (TRAP) sequence, and CDH.


Congenital Diaphragmatic Hernia Congenital Adrenal Hyperplasia Bladder Outlet Obstruction Congenital Diaphragmatic Hernia Fetal Surgery 

Suggested Reading

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Pediatric SurgeryCincinnati Children’s Hospital Medical CenterCincinnatiUSA

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