Fetal surgery is a new frontier of medicine; it has been developed in the last few years and now it has several applications in pathologies such as congenital diafragmatic hernia or myelomenigocele. We here propose these suggestive images.
figure 1. Open fetal surgery for myelomeningocele (MMC).
Panel A. The maternal uterus is open and the 23-week fetus’ lesion is visible. Intramuscular (intragluteal) injection of neuromuscular relaxants, fentanyl type opiates, directly to the fetus is provided to prevent fetal pain and hormonal stress response, to allow surgical access to the fetus and to inhibit fetal movement during surgery.
Panel b. Exposure of the lesion, the lumbar MMC, for surgical repair.
Panel c. Fetal foot position, after fetal surgical procedure and before uterine closure, shows the adequate management of maternal-fetal anesthesia and relaxation.
Editorial Information
Editor-in-Chief
2021 Copyright OAT. All rights reserv
Article Type
Image Article
Publication history
Received date: January 03, 2017
Accepted date: January 10, 2017
Published date: January 14, 2017
Copyright
© Gloria P. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Citation
Gloria P, Calcaterra V, Bellieni C (2017) Fetal surgery. Glob Imaging Insights 2: DOI: 10.15761/GII.1000112.
Corresponding author
Carlo Valerio Bellieni
Medical Director, Department of Pediatrics, University of Siena, Italy, Tel: 0039-347 357-4566, Fax: 0039- 0577586182
E-mail : bhuvaneswari.bibleraaj@uhsm.nhs.uk
figure 1. Open fetal surgery for myelomeningocele (MMC).
Panel A. The maternal uterus is open and the 23-week fetus’ lesion is visible. Intramuscular (intragluteal) injection of neuromuscular relaxants, fentanyl type opiates, directly to the fetus is provided to prevent fetal pain and hormonal stress response, to allow surgical access to the fetus and to inhibit fetal movement during surgery.
Panel b. Exposure of the lesion, the lumbar MMC, for surgical repair.
Panel c. Fetal foot position, after fetal surgical procedure and before uterine closure, shows the adequate management of maternal-fetal anesthesia and relaxation.
