6533b82efe1ef96bd129338b
RESEARCH PRODUCT
Successful tracheal occlusion using ultrathin fetoscopic equipment combined with real-time three-dimensional ultrasound.
M Tchirikovsubject
medicine.medical_specialtyFetal Membranes Premature RuptureDiaphragmatic breathingGestational AgeUltrasonography PrenatalFetoscopyFetoscopesPregnancyMonitoring IntraoperativemedicineHumansHerniaLungHernia Diaphragmaticmedicine.diagnostic_testbusiness.industryFetoscopyInfant NewbornCongenital diaphragmatic herniaBalloon Occlusionmedicine.diseaseSurgeryTracheaBalloon occlusionTracheal occlusionSurgeryFemaleRadiologybusinessComplicationHernias Diaphragmatic CongenitalPremature rupture of membranesdescription
<i>Objective:</i> The most common complication of intrauterine tracheal balloon occlusion is the preterm premature rupture of membranes (PPROM) which increases the rate of neonatal morbidity and mortality. Ultrathin fetoscopy may be a method of reducing the risk of PPROM. <i>Materials and Methods:</i> The operation was performed at the 27th week of gestation after sedation and relaxation of a fetus with bilateral congenital diaphragmatic hernia and with the liver lifted upwards into the thorax. An ultrathin sheath with a 1.2-mm fetoscope was used under real-time 3-D ultrasound guidance. The patient delivered in the 38th week of gestation and did not display PPROM after surgery until delivery. <i>Conclusion:</i> Fetal tracheal occlusion using ultrathin fetoscopic equipment in combination with real-time 3-D ultrasound may reduce the risk of PPROM.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2008-12-12 | European surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes |