Fetoscopic Release of Amniotic Bands Causing Limb Constriction: Case Series and Review of the Literature

Gueneuc, Alexandra; Chalouhi, G. E.; Mediouni, Imen; Stirnemann, J.; Ville, Y.

doi:10.1159/000495505

Cited by 18 publications

(37 citation statements)

References 30 publications

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“…This theory therefore provides no rationale for fetoscopic treatment. Few cases in the literature 4,5,7,15‐18 like in 2 of our cases (Patients 1 and 2) described an improvement in the affected limb function after fetoscopic treatment. This would tend to support the extrinsic theory or suggest that even if bands and malformations do have a common cause, bands nonetheless have a deleterious effect on malformations.…”

Section: Discussionsupporting

confidence: 50%

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Fetoscopic Release of Amniotic Band Syndrome

Minella

Costantino

Ruano

et al. 2020

J of Ultrasound Medicine

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Amniotic band syndrome is a rare condition. There have been few cases reported of fetoscopic band dissection. The aim of this case series is to report 3 cases of fetoscopic treatment for amniotic band syndrome, including indication for surgery, technical aspects, complications and outcomes. Fetoscopic treatment was performed respectively at 23 5/7, 26 5/7 and 18 3/7 weeks' gestation. Two procedures were performed with a laser fiber through a single trocar whereas one surgery was performed with scissors. In conclusion, fetoscopic release of the amniotic bands in case of amniotic band syndrome is feasible with encouraging results in order to prevent amputation and dysfunction of the extremities.

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Section: Discussionsupporting

confidence: 50%

“…At last, it is debatable to perform surgery during the third trimester since expectant management or postnatal surgery should be considered as an alternative. Still, 3 surgeries during the third trimester have been reported, including one failure 9 and 2 successful cases 5 …”

Section: Discussionmentioning

confidence: 99%

Fetoscopic Release of Amniotic Band Syndrome

Minella

Costantino

Ruano

et al. 2020

J of Ultrasound Medicine

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“…[ 17 ] Some authors reported that fetoscopic release of the amniotic bands in the case of amniotic band syndrome is feasible in order to prevent amputation and dysfunction of the extremities. [ 18 ]…”

Section: Discussionmentioning

confidence: 99%

Clinical assessment of the results of one-stage circular incision techniques for limb ring constriction due to amniotic band syndrome

Wang

Fang

2021

Medicine

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Background: Amniotic band syndrome (ABS) is a congenital malformation that results in abnormalities in many parts of the body. Most surgical treatments for ABS used multi-stage Z-plasties. The purpose of this study was to assess the clinical results of onestage circular incision techniques for limb ring constriction due to amniotic band syndrome.Methods: We reviewed 27 patients with limb ring constriction in ABS from 2010 to 2020. The mean ages of the patients were 11.7 months (range, 0-72 months). The complete circular incision release the ABS. All patients' operations were used one-stage circular incision surgical techniques, including patients with multiple bands. All the patients were followed up with a period ranges from 2 years to 10 years. Patient-reported visual analog scale (VAS) scar ranking on a scale of 0 (minimum satisfaction) to 10 (maximum satisfaction) were used to evaluate esthetic outcomes.Results: After our surgery, all the limbs, toes, and fingers were rescued, and the lymphedema reduced remarkably. The VAS scores (mean ± SD) for patient satisfaction were 7.55 ± 1.89. The surgical treatment of amniotic band syndrome in a one-stage circular incision is safe and effective. Conclusion:The one-stage circular incision surgical techniques have many advantages, including reduced surgical invasiveness, scar formation, and the cost of treatment.

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“…Follow-up, ultrasound scans and intervention are individually tailored and depend on the severity of ABS complications (15).…”

Section: Discussionmentioning

confidence: 99%

A Neonate with Amniotic Band Syndrome and Osteomyelitis

Zafaranloo¹,

Moshfegh²,

Mohagheghi³

et al. 2020

Preprint

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Background: Amniotic band syndrome (ABS) comprises of a spectrum of congenital malformations involving the limbs more often, but any other anatomic region of fetus could be involved (1). Its prevalence has been reported to range from 0.19 to 8.1 per 10000 live births (2). There are different theories for explaining the etiology of amniotic bands, but it has been considered to have a multifactorial etiology. (2) Fetoscopic release of amniotic bands affecting one or more extremities can prevent limb loss or preserve limb function when distal fellow is still identifiable on preoperative ultrasound scans (3)(4). ABS occurs in 77% of fetuses with multiple anomalies (5). Both males and females are equally affected (6). Osteomyelitis in neonates is relatively uncommon, but burdened with an increased hospital stay and possible long‐term sequela if not diagnosed on time (18). The long bones are the most frequently affected sites (18).Case presentation: Here we are introducing a neonate with left upper extremity necrosis due to ABS which needed amputation and it was associated with severe chronic osteomyelitis.Conclusion: Amniotic band syndrome mostly involves the limbs. It is important to diagnose it as soon as possible, because with the interprofessional teamwork approach, an optimal patient result with fetoscopic or surgery procedures could be achieved.

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Fetoscopic Release of Amniotic Bands Causing Limb Constriction: Case Series and Review of the Literature

Cited by 18 publications

References 30 publications

Fetoscopic Release of Amniotic Band Syndrome

Fetoscopic Release of Amniotic Band Syndrome

Clinical assessment of the results of one-stage circular incision techniques for limb ring constriction due to amniotic band syndrome

A Neonate with Amniotic Band Syndrome and Osteomyelitis

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