TITLE:
Evaluation of Fetoscopy Role in Fetal Surgery and Fetal Medicine
AUTHORS:
Wael S. S. Elbanna, Ibrahim A. Oun, Emad M. Abd Ellatif, Wael R. Hablas, Walid I. El Shaikh, Yehia A. Wafa
KEYWORDS:
Fetoscopy, Lower Urinary Tract Obstruction, LUTO, Twin-to-Twin Transfusion Syndrome, Hydrocephalus, Hydrothorax, Sacrococcygeal Teratoma, Complications Rate
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.11,
September
4,
2018
ABSTRACT: Introduction: This study aimed to evaluate, discuss and illustrate the role of
fetoscopy diagnostically and therapeutically. Material and Methods: This
study was conducted in private center in under the supervision of the professors
of Azhar University, Egypt from Dec-2012 to Mar-2017. Women with confirmed
fetal congenital malformations, and willing to do fetoscopy were recruited.
Fetoscopy was attempted in all cases to treat the underlying fetal conditions.
Follow up was made until delivery. Results: Twenty patients with 22
fetuses were included in this study with different congenital anomalies.
Therapeutic drainage or coagulation was made in all cases. In cases of lower
urinary tract obstruction, fetoscopy confirmed pre-suspected urethral atresia
and changed the diagnosis from complete PUV to urethral atresia in some cases.
The procedure succeeded in all cases. However, the on-going success rate was 17
(77.3%) of fetuses. The overall number of live birth was 11 fetuses (50%).
Overall, 15 (75%) of the 20 patients experienced some complication withpreterm
labor the most prevalent 15 (75%). Conclusion: Fetoscopy can diagnose
and differentiate between posterior urethral valve (PUV) and atresia, and
manage well-selected cases of twin to twin transfusion syndrome (TTTS), and
have a reasonable survival rate in lower urinary tract obstruction (LUTO).