PURPOSE: To study the feasibility, learning curve, and safety of fetoscopy, so that fetal surgery can be confidently performed in ongoing pregnancies. METHODS: Fetoscopy was performed at 12-20 weeks of gestation, in 12 women with fetal congenital malformations and/or for termination of pregnancy, under local anesthesia using fine fetoscopes ranging from 1 to 2-mm diameter. The fetal parts and placenta were examined for clarity of vision, identification, and anomalies. RESULTS: Fetoscopy required great skill, patience, and extensive use of ultrasound for correct orientation. Visualization was better with endoscope of 2-mm diameter. Laser coagulation of placental vessels using diode laser system was possible in the last two cases. There were no major complications. CONCLUSIONS: Fetal endoscopy is a feasible procedure, safe in experienced hands but has an appreciable learning curve.
PURPOSE: To study the feasibility, learning curve, and safety of fetoscopy, so that fetal surgery can be confidently performed in ongoing pregnancies. METHODS: Fetoscopy was performed at 12-20 weeks of gestation, in 12 women with fetal congenital malformations and/or for termination of pregnancy, under local anesthesia using fine fetoscopes ranging from 1 to 2-mm diameter. The fetal parts and placenta were examined for clarity of vision, identification, and anomalies. RESULTS: Fetoscopy required great skill, patience, and extensive use of ultrasound for correct orientation. Visualization was better with endoscope of 2-mm diameter. Laser coagulation of placental vessels using diode laser system was possible in the last two cases. There were no major complications. CONCLUSIONS: Fetal endoscopy is a feasible procedure, safe in experienced hands but has an appreciable learning curve.
Authors: Jan Deprest; Jacques Jani; Liesbeth Lewi; Nicole Ochsenbein-Kölble; Mieke Cannie; Elisa Doné; Xenia Roubliova; Tim Van Mieghem; Anne Debeer; Frederik Debuck; Laurenço Sbragia; Jaan Toelen; Roland Devlieger; Paul Lewi; Marc Van de Velde Journal: Semin Fetal Neonatal Med Date: 2006-10-20 Impact factor: 3.926
Authors: Kenneth J Moise; Anthony Johnson; Robert J Carpenter; Ahmet A Baschat; Lawrence D Platt Journal: Obstet Gynecol Date: 2009-02 Impact factor: 7.661
Authors: Jan A Deprest; Roland Devlieger; Kasemsri Srisupundit; Veronika Beck; Inga Sandaite; Silvia Rusconi; Filip Claus; Gunnar Naulaers; Marc Van de Velde; Paul Brady; Koen Devriendt; Joris Vermeesch; Jaan Toelen; Marianne Carlon; Zeger Debyser; Luc De Catte; Liesbeth Lewi Journal: Semin Fetal Neonatal Med Date: 2009-11-13 Impact factor: 3.926
Authors: Jose L Peiró; Elena Carreras; Gabriela Guillén; Silvia Arévalo; M Angeles Sánchez-Durán; Teresa Higueras; Felix Castillo; Claudia Marhuenda; Josep Lloret; Vicenç Martínez-Ibáñez Journal: J Laparoendosc Adv Surg Tech A Date: 2009-04 Impact factor: 1.878