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Chapter 10 - Myelomeningocele Repair

from Section 3

Published online by Cambridge University Press:  19 November 2021

By
William Whitehead  and
Titilopemi Aina
Edited by
Olutoyin A. Olutoye
Olutoyin A. Olutoye
Affiliation:
Ann & Robert H. Lurie Children's Hospital of Chicago, Illinois
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Summary

Prenatal myelomeningocele has rapidly become the most common in-utero surgery performed following the results of the multi-center, myelomeningocele study. In-utero surgery has greatly improved the prognosis of babies with spina bifida or myelomeningocele. The eligibility criteria for this surgery has also evolved as some centers are now operating on mothers with increased body mass index (BMI). A BMI greater than 40 was not incorporated into the original study. In addition, fetoscopic repair of the myelomeningocele is also being performed, allowing for a decrease in the risk for uterine dehiscence and also offering mothers the opportunity to have a vaginal delivery following in-utero surgery.

Keywords

spina bifidamyelomeningoceleplacodeventriculo-peritoneal shuntfetushindbrainherniationventriclesspinecerebrospinal fluid
Type
Chapter
Information
Anesthesia for Maternal-Fetal Surgery
Concepts and Clinical Practice
 , pp. 137 - 151
Publisher: Cambridge University Press
Print publication year: 2021

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