In utero Repair of Myelomeningocele with Bovine Pericardial Patch. Case Report

Abstract

We present the first case of meningomyelocele (MMC) in utero repair with the bovine pericardial patch performed in Belarus. We followed the maternal and fetal inclusion and exclusion criteria used by the MOMS trial. Prenatal fetal magnetic resonance imaging (MRI) shows the anomaly of cerebellar tonsils, brain stem herniation and MMC at the level of L5-S1 vertebra. During the standard surgical hysterectomy, we performed exposure of the fetus and applied microsurgical repair of the MMC defect with the use of bovine pericardial patch. In our case, we demonstrated the use of bovine pericardial patch for MMC defect repair as optimal and safe material which resulted into skin epithelialization by the first month of life.