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fetal surgery (Open surgical procedure (Greatest risk for mother and fetus…
fetal surgery
Open surgical procedure
Greatest risk for mother and fetus
postoperative membrane separation
preterm premature rupture of membrane (PROM)
Preterm delivery
intra/postoperative tocolysis is critical
types
Laparotomy
hysterotomy
EXIT procedure
bridge ECMO for fetus with cardio pulmonary diease
modification of c-section
allows various interventions during birth
secure an airway by bronch, laryngoscopy or tracheostomy
perform procedure while gas exchange continues in placenta
placenta bypass
prevention of postnatal asphyxia
Lymphangia
Cervical tertaoma
Cystic Hygroma
congenital syndromes
airway security difficult
Minimally invasive procedure
types
percutaneous
endoscopic
do not involve hysterotomy
no risk of preterm labor/deliver
still risk of PROM
maternal welfare most important
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