OC16.05: Open fetal surgery for congenital malformations: feasibility and perinatal outcomes

Moron, A.; Barbosa, M. P.; Milani, Hérbene José Figuinha; Sarmento, Stéphanno Gomes Pereira; Kusano, Cid; Munhoz, P.; Cavalheiro, Sérgio

doi:10.1002/uog.17656

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[11] The majority of surgical techniques recommend the repair at the time of birth or within the first three postnatal months. [7,10] Surgical indication must be considered in cases where there is a risk of rupture of the sac and/or CSF fistula, meningitis, the content of herniated tissue, presence of vascular structures, associated hydrocephalus, and cosmetic appearance. [3,4] e complications that accompany postnatal surgery of an occipital encephalocele include the presence of postsurgical meningitis, CSF fistula, hydrocephalus, wound infection, wound dehiscence, and death.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Fetal surgery for occipital encephalocele: A case report

Méndez,

Mena,

Aguilar

et al. 2023

Surgical Neurology International

View full text Add to dashboard Cite

Background: Occipital encephalocele is a congenital defect of the neural tube at the level of the cranial midline, which results in herniation of meninges and brain tissue. The results of the management of myelomeningocele study determine the maternal and fetal risks for an open fetal surgery and have motivated the constant review of the concepts and strategies which the pediatric neurosurgeon can employ for the treatment of neural tube defects in the prenatal period. Case Description: We present a case of a female patient in utero of 26 gestational weeks with the diagnosis of an occipital encephalocele treated by open fetal surgery. During week 20 of gestation, the diagnosis of occipital encephalocele was made by ultrasound, which was corroborated by fetal magnetic resonance that showed cranial protrusion of neural and meningeal content in the occipital region, measuring 1.6 × 2.8 × 3.3 cm with an approximate volume of 7.7 cc through a bone defect of 6 mm. The closure of the defect was performed by the postnatal surgical technique adapted to the open fetal surgery. Later, the patient was born transabdominal with a 2.8 cm occipital wound, with suture points and approximated borders, normocephalic, without clinical signs of sepsis, hydrocephalus, or overt neurologic compromise. Conclusion: Open fetal surgery is a therapeutic option in the face of an isolated occipital encephalocele. This case report demonstrates the viability of the surgical procedure by the adaptation of a postnatal surgical technique to a prenatal surgery. Further studies are needed to evaluate the long-term functional results, comparing them with those seen in patients who undergo a postnatal procedure.

show abstract