Speciality
Spotlight

 




 


Endoscopy


 

    





Congential Malformation

       

  • Endoscopic Coverage of Fetal Myelomeningocele in Utero


    Bruner JP, Richards WO, Tulipan NB, et al (Vanderbilt Univ, Nashville, Tenn)

    Am J Obstet Gynecol 180 : 153 – 158, 1999

       

    Background – Myelomeningocele is the most common congenital CNS malformation. Currently, however, management options are limited to termination or neonatal therapy. The role of minimally invasive in utero surgery for myelomeningocele coverage was investigated.

       


    The procedure was offered to women in the middle of their second trimester of a pregnancy complicated by fetal myelomeningocele. Four fetuses were treated by maternal split-thickness skin graft over the exposed spinal cord or neural elements.

       


    Conclusion : Minimally invasive fetal surgery appears to be a viable option in the treatment of nonlethal fetal malformations that result in progressive, disabling organ damage. Two of the 4 fetuses undergoing in utero surgery for myelomeningocele coverage in this study are alive with mild deficits at 6 months and 3 years of age.

        


    Editorial comments : This experience offers a potential valuable alternative to abortion or a possible life of immobility and incontinence while injury continues during pregnancy without fetal intervention.

        

  • TS
    Karhuketo, HJ Puhakka (Tampere Univ, Findland)

    Middle
    Ear Imaging Via the Eustachian Tube With a Superfine
    Fiberoptic Videomicroendoscope.

    ORL J Otorhinolaryngol Relat Spec. 60: 30-34, 1998.

       

    With
    a fibreoptic videomicroendoscope inserted through
    the Eustachian tube, 56% of predetermined 
    anatomical objects in the middle ear were
    visualized.

       

    However,
    one may find obstructive sites or mucosal folds that
    may prevent a complete view of all the contents of
    the middle ear cleft.

          



 



 

 

Speciality Spotlight

 

 
Endoscopy
 

    

Congential Malformation
       

  • Endoscopic Coverage of Fetal Myelomeningocele in Utero
    Bruner JP, Richards WO, Tulipan NB, et al (Vanderbilt Univ, Nashville, Tenn)
    Am J Obstet Gynecol 180 : 153 – 158, 1999
       
    Background – Myelomeningocele is the most common congenital CNS malformation. Currently, however, management options are limited to termination or neonatal therapy. The role of minimally invasive in utero surgery for myelomeningocele coverage was investigated.
       
    The procedure was offered to women in the middle of their second trimester of a pregnancy complicated by fetal myelomeningocele. Four fetuses were treated by maternal split-thickness skin graft over the exposed spinal cord or neural elements.
       
    Conclusion : Minimally invasive fetal surgery appears to be a viable option in the treatment of nonlethal fetal malformations that result in progressive, disabling organ damage. Two of the 4 fetuses undergoing in utero surgery for myelomeningocele coverage in this study are alive with mild deficits at 6 months and 3 years of age.
        
    Editorial comments : This experience offers a potential valuable alternative to abortion or a possible life of immobility and incontinence while injury continues during pregnancy without fetal intervention.
        

  • TS Karhuketo, HJ Puhakka (Tampere Univ, Findland)
    Middle Ear Imaging Via the Eustachian Tube With a Superfine Fiberoptic Videomicroendoscope.
    ORL J Otorhinolaryngol Relat Spec. 60: 30-34, 1998.
       
    With a fibreoptic videomicroendoscope inserted through the Eustachian tube, 56% of predetermined  anatomical objects in the middle ear were visualized.
       
    However, one may find obstructive sites or mucosal folds that may prevent a complete view of all the contents of the middle ear cleft.
          

 

 

By |2022-07-20T16:41:29+00:00July 20, 2022|Uncategorized|Comments Off on Endoscopy

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