Evaluation of Fetoscopy Role in Fetal Surgery and Fetal Medicine - Open Journal of Obstetrics and Gynecology

OJOG > Vol.8 No.11, September 2018

Evaluation of Fetoscopy Role in Fetal Surgery and Fetal Medicine ()

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Download as PDF (Size: 715KB) PP. 946-957

DOI: 10.4236/ojog.2018.811096 910 Downloads 2,365 Views Citations

Author(s)

Wael S. S. Elbanna^1*, Ibrahim A. Oun¹, Emad M. Abd Ellatif¹, Wael R. Hablas², Walid I. El Shaikh¹, Yehia A. Wafa¹

Affiliation(s)

¹Department of Obstetrics & Gynecology, Azhar University, Cairo, Egypt.
²Department of Clinical Pathology, Azhar University, Cairo, Egypt.

ABSTRACT

Introduction: This study aimed to evaluate, discuss and illustrate the role of fetoscopy diagnostically and therapeutically. Material and Methods: This study was conducted in private center in under the supervision of the professors of Azhar University, Egypt from Dec-2012 to Mar-2017. Women with confirmed fetal congenital malformations, and willing to do fetoscopy were recruited. Fetoscopy was attempted in all cases to treat the underlying fetal conditions. Follow up was made until delivery. Results: Twenty patients with 22 fetuses were included in this study with different congenital anomalies. Therapeutic drainage or coagulation was made in all cases. In cases of lower urinary tract obstruction, fetoscopy confirmed pre-suspected urethral atresia and changed the diagnosis from complete PUV to urethral atresia in some cases. The procedure succeeded in all cases. However, the on-going success rate was 17 (77.3%) of fetuses. The overall number of live birth was 11 fetuses (50%). Overall, 15 (75%) of the 20 patients experienced some complication withpreterm labor the most prevalent 15 (75%). Conclusion: Fetoscopy can diagnose and differentiate between posterior urethral valve (PUV) and atresia, and manage well-selected cases of twin to twin transfusion syndrome (TTTS), and have a reasonable survival rate in lower urinary tract obstruction (LUTO).

KEYWORDS

Fetoscopy, Lower Urinary Tract Obstruction, LUTO, Twin-to-Twin Transfusion Syndrome, Hydrocephalus, Hydrothorax, Sacrococcygeal Teratoma, Complications Rate

Share and Cite:

Elbanna, W. , Oun, I. , Ellatif, E. , Hablas, W. , El Shaikh, W. and Wafa, Y. (2018) Evaluation of Fetoscopy Role in Fetal Surgery and Fetal Medicine. Open Journal of Obstetrics and Gynecology, 8, 946-957. doi: 10.4236/ojog.2018.811096.

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