Endoscopic creation and repair of fetal cleft lip.

Plastic and reconstructive surgery 1992 Vol.90(5) p. 743-6; discussion 747-9

Estes JM, Whitby DJ, Lorenz HP, Longaker MT, Szabo Z, Adzick NS, Harrison MR

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Abstract

In utero repair of several life-threatening malformations in the human fetus is now a clinical reality, yet fetal surgery still poses significant risks to both the mother and the unborn child. Preterm labor is a major problem and is directly related to the large hysterotomy required for fetal exposure. Endoscopic surgical manipulation of the fetus, through small uterine "ports," solves this problem and may eventually permit fetal intervention for non-life-threatening malformations. In this pilot study we demonstrated the feasibility of performing endoscopic surgery on the fetus in situ. A lip incision was created and repaired using endoscopic microsurgical techniques in midgestation fetal lambs. This represents the first application of this technique for in utero fetal intervention.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
기법 endoscopic 내시경 dict 4
해부 fetal scispacy 1
해부 fetus scispacy 1
해부 lip scispacy 1
질환 cleft lip C0008924
Cleft upper lip
scispacy 1
질환 malformations C0000768
Congenital Abnormality
scispacy 1
질환 Preterm labor C0022876
Premature Obstetric Labor
scispacy 1
질환 uterine scispacy 1
기타 human fetus scispacy 1

MeSH Terms

Animals; Cleft Lip; Female; Fetoscopy; Fetus; Insufflation; Microsurgery; Pilot Projects; Pregnancy; Sheep; Surgery, Plastic; Suture Techniques; Wound Healing

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