Instrumental requirements for minimal invasive fetal surgery

Authors

  • P Klaritsch,

    1. Centre for Surgical Technologies, Faculty of Medicine, Katholieke Universiteit (KU) Leuven, Leuven, Belgium
    2. Department of Obstetrics and Gynaecology, Unit for Fetal Diagnosis and Therapy, University Hospital Gasthuisberg, KU Leuven, Leuven, Belgium
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  • K Albert,

    1. Department of Obstetrics and Gynaecology, Unit for Fetal Diagnosis and Therapy, University Hospital Gasthuisberg, KU Leuven, Leuven, Belgium
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  • T Van Mieghem,

    1. Department of Obstetrics and Gynaecology, Unit for Fetal Diagnosis and Therapy, University Hospital Gasthuisberg, KU Leuven, Leuven, Belgium
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  • L Gucciardo,

    1. Department of Obstetrics and Gynaecology, Unit for Fetal Diagnosis and Therapy, University Hospital Gasthuisberg, KU Leuven, Leuven, Belgium
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  • E Done’,

    1. Department of Obstetrics and Gynaecology, Unit for Fetal Diagnosis and Therapy, University Hospital Gasthuisberg, KU Leuven, Leuven, Belgium
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  • B Bynens,

    1. Department of Obstetrics and Gynaecology, Unit for Fetal Diagnosis and Therapy, University Hospital Gasthuisberg, KU Leuven, Leuven, Belgium
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  • J Deprest

    Corresponding author
    1. Centre for Surgical Technologies, Faculty of Medicine, Katholieke Universiteit (KU) Leuven, Leuven, Belgium
    2. Department of Obstetrics and Gynaecology, Unit for Fetal Diagnosis and Therapy, University Hospital Gasthuisberg, KU Leuven, Leuven, Belgium
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Dr J Deprest, Department of Obstetrics and Gynaecology, University Hospital Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium. Email jan.deprest@uzleuven.be

Abstract

Minimal invasive intrauterine interventions have gained their place in fetal medicine. Interventions on the placenta, umbilical cord, fetal membranes or on the fetus require special endoscopes with their respective sheaths, cannulas and additional instruments. Instruments for fetal therapy are purpose designed for the procedure of interest and most gynaecologists are therefore not familiar with them. We review the currently available instrumentation used during operations for complicated monochorionic multiple pregnancies, congenital diaphragmatic hernia, amniotic band syndrome, urinary tract obstruction and hydrothorax.

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