What Are The Most Common Fetal Surgeries?

When it comes to fetal surgeries, one cannot underestimate their significance in ensuring the well-being of unborn babies diagnosed with certain conditions. These procedures are a testament to the advancements in medical science, offering hope and a chance at a healthier life for those in need.

Spina Bifida Repair

One of the most common fetal surgeries is the repair of spina bifida. This birth defect, where the spinal cord does not fully close during development, can have serious implications for the baby’s health. Surgeons may opt for open fetal surgery or a less invasive procedure using a fetoscope to address this condition before birth.

Twin-Twin Transfusion Syndrome Treatment

Another prevalent fetal surgery is the treatment of twin-twin transfusion syndrome (TTTS) in identical twins who share a placenta. This condition can lead to an unequal distribution of blood flow between the babies, putting both at risk. Fetal surgery can help correct this imbalance and improve the chances of a successful outcome for both twins.

Congenital Diaphragmatic Hernia Correction

Congenital diaphragmatic hernia (CDH) is a condition where there is an opening in the diaphragm, allowing abdominal organs to move into the chest cavity and affect lung development. Fetal surgery can be performed to repair this defect and enhance the baby’s lung function before birth.

Spina Bifida Closure with Miniature Endoscopy

In recent years, advancements in technology have led to the development of miniature endoscopy procedures for spina bifida closure. These minimally invasive techniques offer a less traumatic option for correcting the spinal cord defect in fetuses, showcasing the continuous evolution of fetal surgical techniques.

Lower Urinary Tract Obstruction Intervention

Lower urinary tract obstruction (LUTO) is a condition where blockages in the urinary tract can lead to kidney damage in the fetus. Fetal surgeries such as vesicoamniotic shunting or fetal cystoscopy can help alleviate these obstructions and preserve kidney function before birth.

Myelomeningocele Repair

Myelomeningocele, a severe form of spina bifida, involves a sac of fluid protruding from an opening in the baby’s back, exposing the spinal cord and nerves. Fetal surgery aimed at repairing this defect can prevent further damage to the spinal cord and improve the chances of normal development for the baby.

Amniotic Band Syndrome Release

Amniotic band syndrome occurs when strands of the amniotic sac entangle fetal limbs, causing restrictions in growth and potential deformities. Fetal surgery can release these bands and free the affected body parts, allowing for proper development and mobility post-birth.

Congenital Cystic Adenomatoid Malformation Resection

Congenital cystic adenomatoid malformation (CCAM) is a lung tumor that can affect a fetus’s breathing and lung capacity. Fetal surgical resection of these tumors can reduce the risk of respiratory distress at birth and improve the baby’s overall respiratory function.

Tracheoesophageal Fistula Repair

Tracheoesophageal fistula (TEF) is a condition where there is an abnormal connection between the trachea and esophagus, leading to feeding and breathing difficulties. Fetal surgeries can correct this defect and ensure proper separation of the airway and digestive tract for the baby’s well-being.

Diaphragmatic Eventration Correction

Diaphragmatic eventration involves the abnormal elevation of the diaphragm, affecting lung development and function in the fetus. Fetal surgeries can address this condition by restoring the diaphragmatic position and promoting normal lung growth before birth, reducing the risk of respiratory complications after delivery.

Ex Utero Intrapartum Treatment Procedure

Ex utero intrapartum treatment (EXIT) is a unique fetal surgery where the baby is partially delivered during the procedure to address airway obstructions or other conditions that may compromise breathing post-birth. This intervention ensures a smooth transition for the newborn and reduces the risk of respiratory distress in critical situations.

What Are The Most Common Fetal Surgeries?

Summing Up the Landscape of Fetal Surgeries

From spina bifida repairs to twin-twin transfusion syndrome treatments, the realm of fetal surgeries is vast and diverse, offering solutions to a wide range of fetal conditions that can impact a baby’s health and development. As technology advances and medical expertise grows, the future of fetal surgeries holds promising prospects for providing optimal care for unborn babies in need.

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Nancy Sherman

Nancy Sherman has more than a decade of experience in education and is passionate about helping schools, teachers, and students succeed. She began her career as a Teaching Fellow in NY where she worked with educators to develop their instructional practice. Since then she held diverse roles in the field including Educational Researcher, Academic Director for a non-profit foundation, Curriculum Expert and Coach, while also serving on boards of directors for multiple organizations. She is trained in Project-Based Learning, Capstone Design (PBL), Competency-Based Evaluation (CBE) and Social Emotional Learning Development (SELD).