TY  - CHAP
M1  - Book, Section
TI  - Fetal Neurosurgery
A1  - Rosner, Mara
A1  - Baschat, Ahmet
A1  - Groves, Mari
A1  - S. Faden, Majed
A1  - Laurie, Melissa
A1  - Miller, Jena
A2  - Malinger, Gustavo
A2  - Monteagudo, Ana
A2  - Pilu, Gianluigi
A2  - Paladini, Dario
A2  - Timor-Tritsch, Ilan E.
PY  - 2023
T2  - Timor's Ultrasonography of the Prenatal Brain, 4e
AB  - KEY  POINTSFetal  myelomeningocele  (MMC)  repair  reduces  the  need  for  postnatal  ventriculoperitoneal  shunting  at  1  year  by  at  least  a  half  compared  with  postnatal  repair.Motor  and  bladder  function  outcome  studies  after  fetal  MMC  repair  are  encouraging,  and  further  study  is  underway.Preliminary  findings  demonstrate  that  fetoscopic  MMC  repair  seems  to  offer  similar  neonatal  benefits  to  the  open  approach,  with  the  advantage  of  allowing  for  safe  vaginal  delivery  in  the  index  and  future  pregnancies.  Fetoscopic  MMC  repair  is  not  associated  with  an  increased  risk  for  uterine  rupture,  compared  to  an  11%  risk  after  open  repair.In  1986,  a  moratorium  was  placed  on  human  fetal  ventriculoperitoneal  shunting.  However,  due  to  improvements  in  fetal  diagnosis  and  intervention  techniques  that  may  translate  to  improved  case  selection  and  outcomes,  there  is  renewed  interest  in  further  investigation  of  this  treatment  approach.  
SN  - 
PB  - McGraw Hill Education
CY  - New York, NY
Y2  - 2024/04/18
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1194721711
ER  -