Instrumental requirements for minimal invasive fetal surgery

Minimal invasive intrauterine interventions have gained their place in fetal medicine. Interventions on the placenta, umbilical cord, fetal membranes or on the fetus require special endoscopes with their respective sheaths, cannulas and additional instruments. Instruments for fetal therapy are purpose designed for the procedure of interest and most gynaecologists are therefore not familiar with them. We review the currently available instrumentation used during operations for complicated monochorionic multiple pregnancies, congenital diaphragmatic hernia, amniotic band syndrome, urinary tract obstruction and hydrothorax.

[1]  C. Barnewolt,et al.  In utero treatment for bladder outlet obstruction using robot assisted laparoscopic techniques. , 2008, The Journal of urology.

[2]  R. Quintero,et al.  General vs local anesthesia for the percutaneous laser treatment of twin-twin transfusion syndrome. , 2008, American journal of obstetrics and gynecology.

[3]  Robert Puers,et al.  Feasibility of in utero Telemetric Fetal ECG Monitoring in a Lamb Model , 2008, Fetal Diagnosis and Therapy.

[4]  N. Fisk,et al.  Interstitial laser therapy for fetal reduction in monochorionic multiple pregnancy: loss rate and association with aplasia cutis congenita , 2008, Prenatal diagnosis.

[5]  E. Biemer,et al.  Fetal Spina Bifida Repair – Current Trends and Prospects of Intrauterine Neurosurgery , 2008, Fetal Diagnosis and Therapy.

[6]  K. Hecher,et al.  Laser coagulation of placental anastomoses with a 30° fetoscope in severe mid‐trimester twin–twin transfusion syndrome with anterior placenta , 2008, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[7]  K. Moise,et al.  Radiofrequency ablation for selective reduction in the complicated monochorionic gestation. , 2008, American journal of obstetrics and gynecology.

[8]  R. Ball,et al.  Fetoscopic Transuterine Release of Posterior Urethral Valves: A New Technique , 2007, Fetal Diagnosis and Therapy.

[9]  E. Lopriore,et al.  Isolated fetal hydrothorax with hydrops: a systematic review of prenatal treatment options , 2007, Prenatal diagnosis.

[10]  T. Crombleholme,et al.  Intrafetal radiofrequency ablation for twin reversed arterial perfusion (TRAP): a single-center experience. , 2007, American journal of obstetrics and gynecology.

[11]  J. Ringers,et al.  Laparoscopically Guided Uterine Entry for Fetoscopy in Twin-to-Twin Transfusion Syndrome with Completely Anterior Placenta: A Novel Technique , 2007, Fetal Diagnosis and Therapy.

[12]  W. Willinek,et al.  Temporary Fetoscopic Tracheal Balloon Occlusion Enhanced by Hyperoncotic Lung Distension: Is There a Role in the Treatment of Fetal Pulmonary Hypoplasia from Early Preterm Premature Rupture of Membranes? , 2007, Fetal Diagnosis and Therapy.

[13]  T. Okai,et al.  Application of high‐intensity focused ultrasound for umbilical artery occlusion in a rabbit model , 2007, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[14]  B. Thilaganathan,et al.  Severe twin–twin transfusion syndrome: outcome after fetoscopic laser ablation of the placental vascular equator , 2007, BJOG : an international journal of obstetrics and gynaecology.

[15]  R. Ball,et al.  Efficacy of radiofrequency ablation for twin-reversed arterial perfusion sequence. , 2007, American journal of obstetrics and gynecology.

[16]  R. Morris,et al.  Vesicoamniotic shunting for fetal lower urinary tract obstruction: an overview , 2007, Archives of Disease in Childhood - Fetal and Neonatal Edition.

[17]  B. Rubin,et al.  Respiratory controversies in the critical care setting. When caring for critically ill patients, do clinicians have a responsibility to be innovative and try unproven approaches when accepted approaches are failing? , 2007, Respiratory care.

[18]  L. Mortelmans,et al.  Fetal gene transfer with lentiviral vectors: long-term in vivo follow-up evaluation in a rat model. , 2007, American journal of obstetrics and gynecology.

[19]  U. Gembruch,et al.  Partial amniotic carbon dioxide insufflation (PACI) facilitates fetoscopic interventions in complicated monochorionic twin pregnancies , 2007, Surgical Endoscopy.

[20]  R. Chmait,et al.  Sequential selective laser photocoagulation of communicating vessels in twin–twin transfusion syndrome , 2007, The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians.

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

[22]  A. Müller,et al.  Analysis of the stepwise clinical introduction of experimental percutaneous fetoscopic surgical techniques for upcoming minimally invasive fetal cardiac interventions , 2006, Surgical Endoscopy And Other Interventional Techniques.

[23]  K. Moise Neurodevelopmental outcome after laser therapy for twin-twin transfusion syndrome. , 2006, American journal of obstetrics and gynecology.

[24]  D. Ronderos-Dumit,et al.  Endoscopic Release of Limb Constriction Rings in utero , 2006, Fetal Diagnosis and Therapy.

[25]  E. Ortibus,et al.  Pregnancy and infant outcome of 80 consecutive cord coagulations in complicated monochorionic multiple pregnancies. , 2006, American journal of obstetrics and gynecology.

[26]  J. Deprest,et al.  FETOSCOPIC SURGERY FOR IN-UTERO MANAGEMENT OF CONGENITAL DIAPHRAGMATIC HERNIA , 2006 .

[27]  M. Bebbington,et al.  Cystic adenomatoid malformation of the lung: Review of genetics, prenatal diagnosis, and in utero treatment , 2006, American journal of medical genetics. Part A.

[28]  R. Robyr,et al.  Selective feticide in complicated monochorionic twin pregnancies using ultrasound‐guided bipolar cord coagulation , 2005, BJOG : an international journal of obstetrics and gynaecology.

[29]  Yuichiro Takahashi,et al.  Incidence and impact of perioperative complications in 175 fetoscopy-guided laser coagulations of chorionic plate anastomoses in fetofetal transfusion syndrome before 26 weeks of gestation. , 2005, American journal of obstetrics and gynecology.

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

[31]  A. Flake,et al.  Surgeons and stem cells: a pragmatic perspective on shifting paradigms. , 2004, Surgery.

[32]  L. Marpeau,et al.  Favourable outcome of a tight constriction band secondary to amniotic band syndrome , 2004, Prenatal diagnosis.

[33]  N. Fisk,et al.  Fetal cystoscopy in the management of fetal obstructive uropathy: experience in a single European centre , 2003, Prenatal diagnosis.

[34]  Y. Ville Selective feticide in monochorionic pregnancies: toys for the boys or standard of care? , 2003, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[35]  T. Crombleholme,et al.  In utero limb salvage: fetoscopic release of amniotic bands for threatened limb amputation. , 2003, Journal of pediatric surgery.

[36]  V. Feldstein,et al.  Selective reduction of acardiac twin by radiofrequency ablation. , 2002, American journal of obstetrics and gynecology.

[37]  J. Deprest,et al.  Nitrous oxide amniodistention compared with fluid amniodistention reduces operation time while inducing no changes in fetal acid-base status in a sheep model for endoscopic fetal surgery. , 2002, American journal of obstetrics and gynecology.

[38]  S. Carroll,et al.  Ultrasound‐guided, intra‐abdominal laser to treat acardiac pregnancies , 2002, BJOG : an international journal of obstetrics and gynaecology.

[39]  William O. Richards,et al.  Robot-Assisted Endoscopic Intrauterine Myelomeningocele Repair: A Feasibility Study , 2002, Pediatric Neurosurgery.

[40]  M. Jolly,et al.  Interstitial laser: a new surgical technique for twin reversed arterial perfusion sequence in early pregnancy , 2001, BJOG : an international journal of obstetrics and gynaecology.

[41]  J. Deprest,et al.  Effects of amniodistention with carbon dioxide on fetal acid-base status during fetoscopic surgery in a sheep model , 2001, Surgical Endoscopy.

[42]  R. Quintero,et al.  SELECTIVE LASER PHOTOCOAGULATION OF COMMUNICATING VESSELS IN SEVERE TWIN–TWIN TRANSFUSION SYNDROME IN WOMEN WITH AN ANTERIOR PLACENTA , 2001, Obstetrics and gynecology.

[43]  R. Quintero,et al.  Selective versus non‐selective laser photocoagulation of placental vessels in twin‐to‐twin transfusion syndrome , 2000, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[44]  K. Nicolaides,et al.  Twin-to-twin transfusion syndrome--debates on the etiology, natural history and management. , 2000, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[45]  J. Deprest,et al.  Current experience with fetoscopy and the Eurofoetus registry for fetoscopic procedures. , 2000, European journal of obstetrics, gynecology, and reproductive biology.

[46]  K. Hecher,et al.  Bipolar coagulation of the umbilical cord in complicated monochorionic twin pregnancy. , 2000, American journal of obstetrics and gynecology.

[47]  N. Fisk,et al.  High failure rate of umbilical vessel occlusion by ultrasound‐guided injection of absolute alcohol or enbucrilate gel , 1999, Prenatal diagnosis.

[48]  E. Steegers,et al.  Experience with fetoscopic cord ligation. , 1998, European journal of obstetrics, gynecology, and reproductive biology.

[49]  C. Rodeck,et al.  Thermocoagulation for the early treatment of pregnancy with an acardiac twin. , 1998, The New England journal of medicine.

[50]  J. Deprest,et al.  Alternative technique for Nd : YAG laser coagulation in twin‐to‐twin transfusion syndrome with anterior placenta , 1998, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[51]  R. Quintero,et al.  In utero lysis of amniotic bands , 1997, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[52]  S. Porat,et al.  Limb amputation in amniotic band syndrome: serial ultrasonographic and Doppler observations , 1997, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[53]  Y. Ville,et al.  Umbilical cord coagulation by operative microendoscopy at 16 weeks' gestation in an acardiac twin , 1997, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[54]  D. Litwin,et al.  Reducing the deleterious effects of intrauterine CO2 during fetoscopic surgery. , 1997, The Journal of surgical research.

[55]  J. Deprest,et al.  Underwater Nd:YAG laser coagulation of blood vessels in a rat model. , 1996, Fetal diagnosis and therapy.

[56]  Mark Johnson,et al.  In utero percutaneous umbilical cord ligation in the management of complicated monochorionic multiple gestations , 1996, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[57]  K. Nicolaides,et al.  Preliminary experience with endoscopic laser surgery for severe twin-twin transfusion syndrome. , 1995, The New England journal of medicine.

[58]  Mark Johnson,et al.  In-utero percutaneous cystoscopy in the management of fetal lower obstructive uropathy , 1995, The Lancet.

[59]  R. Kuhlmann,et al.  Fetoscopic laser ablation of placental vessels in severe previable twin-twin transfusion syndrome. , 1995, American journal of obstetrics and gynecology.

[60]  K. Nicolaides,et al.  Endoscopic laser coagulation of umbilical cord vessels in twin reversed arterial perfusion sequence , 1994, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[61]  F. Luks,et al.  Endoscopic fetal surgery: a new alternative? , 1993, European journal of obstetrics, gynecology, and reproductive biology.

[62]  J. Hobbins,et al.  Transabdominal thin-gauge embryofetoscopy: a technique for early prenatal diagnosis and its use in the diagnosis of a case of Meckel-Gruber syndrome. , 1993, American journal of obstetrics and gynecology.

[63]  J. Newkirk,et al.  A Surgical Approach to the Treatment of Fetal Hydrocephalus , 1982, The New England journal of medicine.

[64]  J. Neilson,et al.  Interventions for the treatment of twin-twin transfusion syndrome. , 2008, The Cochrane database of systematic reviews.

[65]  F. Walther,et al.  Neurodevelopmental outcome after laser therapy for twin-twin transfusion syndrome. , 2007, American journal of obstetrics and gynecology.

[66]  J. Stockman,et al.  Endoscopic Laser Surgery Versus Serial Amnioreduction for Severe Twin-to-Twin Transfusion Syndrome , 2006 .

[67]  W. Sepulveda,et al.  Intrathoracic dislodgement of pleuro-amniotic shunt. Three case reports with long -term follow-up. , 2005, Fetal diagnosis and therapy.

[68]  K. Nicolaides,et al.  Fetoscopic tracheal occlusion (FETO) for severe congenital diaphragmatic hernia: evolution of a technique and preliminary results. , 2004, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[69]  M. Harrison,et al.  The unborn patient : the art and science of fetal therapy , 2001 .

[70]  L. Thompson Experimental treatments. Unapproved but not always unavailable. Last option for the desperately ill. , 2000, FDA consumer.

[71]  A. Freedman,et al.  Fetal uropathy. , 1999, Current opinion in obstetrics & gynecology.

[72]  W O Richards,et al.  Endoscopic coverage of fetal myelomeningocele in utero. , 1999, American journal of obstetrics and gynecology.

[73]  F. Luks,et al.  Amnioinfusion with Hartmann's solution: a safe distention medium for endoscopic fetal surgery in the ovine model. , 1997, Fetal diagnosis and therapy.

[74]  D. Peleg Efficacy of methotrexate. , 1997, American journal of obstetrics and gynecology.

[75]  W. Richards,et al.  Endoscopic coverage of fetal open myelomeningocele in utero. , 1997, American journal of obstetrics and gynecology.

[76]  R. Romero,et al.  Percutaneous fetal cystoscopy and endoscopic fulguration of posterior urethral valves. , 1995, American journal of obstetrics and gynecology.

[77]  F. Luks,et al.  Carbon dioxide pneumoamnios causes acidosis in fetal lamb. , 1994, Fetal diagnosis and therapy.