Prenatal repair of gastroschisis using partial carbon dioxide insufflation fetoscopy: lessons learned
Einstein (Säo Paulo)
;
21: eRC0543, 2023. graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1440062
ABSTRACT
ABSTRACT We report the long-term outcomes of a case of prenatal gastroschisis repair using a fully percutaneous fetoscopic approach with partial carbon dioxide insufflation. Surgery was performed as an experimental procedure before the scheduled elective birth. The fetal intestines were successfully returned to the abdominal cavity without any fetal or maternal complications. Ultrasonography performed 24 hours later revealed bowel peristalsis and no signs of fetal distress. After 48 hours, partial extrusion of the small bowel was observed, and the fetus was delivered. Gastroschisis repair was immediately performed upon delivery using the EXIT-like procedure as per our institutional protocol. The newborn did not require assisted mechanical ventilation, was discharged at 14 days of age and was then exclusively breastfed. At 3-year follow-up, the patient had no associated gastroschisis-related complications. This is the first case of prenatal repair of gastroschisis, which provides baseline knowledge for future researchers on the potential hurdles and management of prenatal repair.
Full text:
Available
Index:
LILACS (Americas)
Language:
English
Journal:
Einstein (Säo Paulo)
Journal subject:
Medicine
Year:
2023
Type:
Article
Affiliation country:
Argentina
/
Brazil
/
United States
Institution/Affiliation country:
Faculdade Israelita de Ciências da Saúde Albert Einstein/BR
/
Faculdade de Medicina de São José do Rio Preto/BR
/
Faculdade de Medicina de Taubaté/BR
/
Hospital Interzonal General de Agudos Dr. José Penna/AR
/
Hospital Israelita Albert Einstein/BR
/
Hospital do Servidor Público Estadual Francisco Morato de Oliveira/BR
/
University of Southern California/US
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