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Instrumental requirements for minimal invasive fetal surgery

  1. P Klaritsch1,2,
  2. K Albert2,
  3. T Van Mieghem2,
  4. L Gucciardo2,
  5. E Done’2,
  6. B Bynens2,
  7. J Deprest1,2,*

Article first published online: 12 DEC 2008

DOI: 10.1111/j.1471-0528.2008.02021.x

Issue

BJOG: An International Journal of Obstetrics & Gynaecology

BJOG: An International Journal of Obstetrics & Gynaecology

Special Issue: Emerging Technologies in Obstetrics and Gynaecology

Volume 116, Issue 2, pages 188–197, January 2009

Additional Information

How to Cite

Klaritsch, P., Albert, K., Van Mieghem, T., Gucciardo, L., Done’, E., Bynens, B. and Deprest, J. (2009), Instrumental requirements for minimal invasive fetal surgery. BJOG: An International Journal of Obstetrics & Gynaecology, 116: 188–197. doi: 10.1111/j.1471-0528.2008.02021.x

Author Information

  1. 1

    Centre for Surgical Technologies, Faculty of Medicine, Katholieke Universiteit (KU) Leuven, Leuven, Belgium

  2. 2

    Department of Obstetrics and Gynaecology, Unit for Fetal Diagnosis and Therapy, University Hospital Gasthuisberg, KU Leuven, Leuven, Belgium

*Dr J Deprest, Department of Obstetrics and Gynaecology, University Hospital Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium. Email jan.deprest@uzleuven.be

Publication History

  1. Issue published online: 12 DEC 2008
  2. Article first published online: 12 DEC 2008
  3. Accepted 25 September 2008.

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Keywords:

  • Congenital diaphragmatic hernia (CDH);
  • fetal therapy;
  • fetocide;
  • fetoscopy;
  • twin-to-twin transfusion syndrome (TTTS)

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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