TITLE:
Fetoscopy Role in Fetal Surgery and Fetal Medicine
AUTHORS:
Wael S. S. Elbanna, Ibrahim A. Oun, Emad M. Abd Ellatif, Wael R. Hablas, Walid I. El Shaikh, Yehia A. Wafa
KEYWORDS:
Fetoscopy, Lower Urinary Tract Obstruction, LUTO, Twin-to-Twin Transfusion Syndrome, Fetal Anemia, Complications Rate
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.11,
November
11,
2019
ABSTRACT: Aim: We attempted to illustrate our experience of fetoscopic therapy in a
tertial institute, whereby to highlight the present Egyptian situation
regarding this issue. We described fetoscopic therapy undergone at Al-Hussein
Hospital, Al-Azhar University, Cairo, Egypt, from Dec-2012 to Sep-2019. Presentation
of cases: Sixteen women with 17 fetuses
were included in the analysis of this study with a mean age of 25.31 ±
6.15 years; four with positive marriage to a near
relevant, and eight were primigravida. The fetus of twelve women had
lower urinary tract obstruction (LUTO), two fetal anemia, one hydrothorax, and
one twin-to-twin transfusion syndrome (TTTS). The mean time for fetoscopy was gestational week 24.13 ± 3.77. We did
therapeutic drainage to amniotic fluid in hydrothorax and LUTO, therapeutic
septostomy to the TTTS case, and blood
transfusion in cases of fetal anemia. During the operation, the procedure
succeeded in 14 out of 16 women. Overall, nine of the 16 women
experienced some complications; five with rupture of membranes, four with preterm labor, and three with intrauterine fetal death
(IUFD). Conclusion: Fetoscopy can manage LUTO and well-selected
cases of TTTS, hydrothorax, and fetal
anemia. The procedure is promising. Fetoscopic therapy has just begun in
Egypt, and this report may contribute to the future advance of fetoscopic
therapy in Egypt.