Newborn and Infant Nursing Reviews
Volume 7, Issue 4 , Pages 181-188, December 2007

Fetal Surgery

  • Barbara Warner, MD

      Affiliations

    • Neonatal Intensive Care Unit, Good Samaritan, Cincinnati, OH
    • ,
  • Leslie Altimier, RN, MSN

      Affiliations

    • Cincinnati Children's Hospital Medical Center, Division of Pediatric General Thoracic and Fetal Surgery, Cincinnati, OH.
    • ,
  • Timothy M. Crombleholme, MD

      Affiliations

    • Washington University School of Medicine, Division of Newborn Medicine, Department of Pediatrics, St. Louis Children's Hospital, St. Louis, MO
    • Corresponding Author InformationAddress correspondence to Timothy M. Crombleholme, The Fetal Care Center of Cincinnati, Division of Pediatric General Thoracic and Fetal Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 2033 Cincinnati, OH 45229.

Abstract 

As prenatal diagnosis has become increasingly sophisticated and as technological advances have enhanced the range of diagnostic capabilities, invasive therapies have developed from our expanded understanding of the natural history and pathophysiology of structural anomalies. This article presents a comprehensive review of the treatment options currently available for the entire spectrum of fetal diagnoses that are potentially surgically correctable. The current indications, contraindications, and outcomes for shunting procedures, open fetal surgery, and fetoscopic surgeries are reviewed.

Keywords: Fetal shunting, Fetal surgery, EXIT procedure, CDH, CCAM, SCT, MMC, Twin to twin

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PII: S1527-3369(07)00142-0

doi:10.1053/j.nainr.2007.09.011

Newborn and Infant Nursing Reviews
Volume 7, Issue 4 , Pages 181-188, December 2007

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