Book contents
- Fetal Therapy
- Fetal Therapy
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section 1: General Principles
- Chapter 1 The Rationale for Fetal Therapy
- Chapter 2 A Fetal Origin of Adult Disease
- Chapter 3 Human Embryology: Molecular Mechanisms of Embryonic Disease
- Chapter 4 Human Genetics and Fetal Disease: Assessment of the Fetal Genome
- Chapter 5 Interventions in Pregnancy to Reduce Risk of Stillbirth
- Chapter 6 Fetal Therapy Choices: Uncertain and Emotional Decisions and the Doctor’s Role in Parental Decision-Making
- Chapter 7 The Ethics of Consent for Fetal Therapy
- Chapter 8 Open Fetal Surgery: Is There Still a Role?
- Chapter 9 The Artificial Womb
- Section 2: Fetal Disease: Pathogenesis and Treatment
- Section III: The Future
- Index
- References
Chapter 8 - Open Fetal Surgery: Is There Still a Role?
from Section 1: - General Principles
Published online by Cambridge University Press: 21 October 2019
- Fetal Therapy
- Fetal Therapy
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section 1: General Principles
- Chapter 1 The Rationale for Fetal Therapy
- Chapter 2 A Fetal Origin of Adult Disease
- Chapter 3 Human Embryology: Molecular Mechanisms of Embryonic Disease
- Chapter 4 Human Genetics and Fetal Disease: Assessment of the Fetal Genome
- Chapter 5 Interventions in Pregnancy to Reduce Risk of Stillbirth
- Chapter 6 Fetal Therapy Choices: Uncertain and Emotional Decisions and the Doctor’s Role in Parental Decision-Making
- Chapter 7 The Ethics of Consent for Fetal Therapy
- Chapter 8 Open Fetal Surgery: Is There Still a Role?
- Chapter 9 The Artificial Womb
- Section 2: Fetal Disease: Pathogenesis and Treatment
- Section III: The Future
- Index
- References
Summary
Fetal surgery is surgery performed on the unborn child. This can be performed open (via a hysterotomy) [1], with minimal access (fetoscopic), or with image-guided techniques [2]. Open fetal surgery can be performed at the time of delivery – ex utero intrapartum treatment (EXIT procedure) [3] – or during the course of pregnancy where the fetus is allowed to continue its gestation in utero. The choice of approach to the fetal therapy varies by condition, gestational age and anticipated objective of the intervention.
- Type
- Chapter
- Information
- Fetal TherapyScientific Basis and Critical Appraisal of Clinical Benefits, pp. 77 - 82Publisher: Cambridge University PressPrint publication year: 2020