Fetal myelomeningocele repair

Semin Pediatr Surg. 2019 Aug;28(4):150823. doi: 10.1053/j.sempedsurg.2019.07.006. Epub 2019 Jul 18.

Abstract

Myelomeningocele is a congenital malformation that causes a spectrum of morbidity. With the standard of care now being in utero repair, the spectrum of morbidity has changed. The purpose of this article is to review the diagnosis, workup and treatment options of fetal myelomeningocele. We also review the obstetrical, neurological, gastrointestinal, urinary, and orthopedic outcomes of the in utero myelomeningocele repair.

Keywords: Fetal myelomeningocele; Fetal surgery; Myelomeningocele.

Publication types

  • Review

MeSH terms

  • Arnold-Chiari Malformation / surgery
  • Child Development
  • Constipation / etiology
  • Female
  • Fetoscopy
  • Humans
  • Hydrocephalus / etiology
  • Hydrocephalus / surgery
  • Hysterotomy
  • Infant
  • Infant, Newborn
  • Magnetic Resonance Imaging
  • Meningomyelocele / diagnosis
  • Meningomyelocele / surgery*
  • Neural Tube Defects / etiology
  • Pregnancy
  • Pregnancy Complications
  • Psychomotor Performance
  • Scoliosis / etiology
  • Ultrasonography, Prenatal
  • Urinary Catheterization
  • Ventriculoperitoneal Shunt