论文信息 - Successful Tracheal Occlusion Using Ultrathin Fetoscopic Equipment Combined with Real-Time Three-Dimensional Ultrasound

Successful Tracheal Occlusion Using Ultrathin Fetoscopic Equipment Combined with Real-Time Three-Dimensional Ultrasound

Objective: 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. Materials and Methods: 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. Conclusion: Fetal tracheal occlusion using ultrathin fetoscopic equipment in combination with real-time 3-D ultrasound may reduce the risk of PPROM.

M. Tchirikov | M. Tchirikov

[1] Jan Deprest,et al. Fetoscopic surgery: encouraged by clinical experience and boosted by instrument innovation. , 2006, Seminars in fetal & neonatal medicine.

[2] T. Egeland,et al. Congenital diaphragmatic hernia: a meta-analysis of mortality factors. , 2000, Journal of pediatric surgery.

[3] D. Tibboel,et al. Fetal lung and diaphragm development in congenital diaphragmatic hernia. , 2005, Seminars in perinatology.

[4] K. Nicolaides,et al. Fetal intervention for congenital diaphragmatic hernia: the European experience. , 2005, Seminars in perinatology.

[5] S. Dymarkowski,et al. Current consequences of prenatal diagnosis of congenital diaphragmatic hernia. , 2006, Journal of pediatric surgery.

[6] K. Nicolaides,et al. Fetal lung-to-head ratio in the prediction of survival in severe left-sided diaphragmatic hernia treated by fetal endoscopic tracheal occlusion (FETO). , 2006, American journal of obstetrics and gynecology.

[7] Hanmin Lee,et al. A randomized trial of fetal endoscopic tracheal occlusion for severe fetal congenital diaphragmatic hernia. , 2003, The New England journal of medicine.

[8] J. Deprest,et al. Enrichment of collagen plugs with platelets and amniotic fluid cells increases cell proliferation in sealed iatrogenic membrane defects in the foetal rabbit model , 2008, Prenatal diagnosis.