ANAESTHETIC IMPLICATION IN FOETAL SURGERY
Ayman El Sayed Abdel Kowy;
Abstract
This study is dealing with anaesthesia for cases of foetal surgery.
Foetal intervention was first described by Liley in (1963) for treatment of infants with erythroblastosis foetalis. However, until recently, few therapeutic options existed when serious foetal anomalies were present. If pregnancy was not medically terminated, many of these infants would die in-utero or shortly after birth. In the subsequent 25 years, the potential foetal surgery improved dramatically.
Today, surgical intervention early in foetal development for conditions such as diaphragmatic hernia, hydronephrosis and obstructive hydrocephalus is a viable obtion because of improvements of in-utero diagnostic capabilities and new surgical techniques. As in any surgical procedure, the quality of anaesthesia is critical to the outcome of the operation.
In case of intrauterine foetal surgical procedures, the anaesthesiologist is dealing with two patients, the mother and the foetus. So, it is important to study the foetal development to deal with the foetus.
Foetal development can be classified into 3 stages, the first one extends for 2 weeks.
Foetal intervention was first described by Liley in (1963) for treatment of infants with erythroblastosis foetalis. However, until recently, few therapeutic options existed when serious foetal anomalies were present. If pregnancy was not medically terminated, many of these infants would die in-utero or shortly after birth. In the subsequent 25 years, the potential foetal surgery improved dramatically.
Today, surgical intervention early in foetal development for conditions such as diaphragmatic hernia, hydronephrosis and obstructive hydrocephalus is a viable obtion because of improvements of in-utero diagnostic capabilities and new surgical techniques. As in any surgical procedure, the quality of anaesthesia is critical to the outcome of the operation.
In case of intrauterine foetal surgical procedures, the anaesthesiologist is dealing with two patients, the mother and the foetus. So, it is important to study the foetal development to deal with the foetus.
Foetal development can be classified into 3 stages, the first one extends for 2 weeks.
Other data
| Title | ANAESTHETIC IMPLICATION IN FOETAL SURGERY | Other Titles | تضمن التخدير فى جراحة الأجنة | Authors | Ayman El Sayed Abdel Kowy | Issue Date | 2000 |
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