https://wikianesthesia.org/w/index.php?action=history&feed=atom&title=Myelomeningocele_repair_in_utero 2026-04-15T07:05:38Z Revision history for this page on the wiki MediaWiki 1.37.1 https://wikianesthesia.org/w/index.php?title=Myelomeningocele_repair_in_utero&diff=16381&oldid=prev 2024-04-25T14:25:51Z

<p>Created page with &quot;Fetal myelomeningocele, when diagnosed during pregnancy, can be repaired in utero at fetal surgery centers. {{Infobox surgical procedure | anesthesia_type = | airway = | lines_access = | monitors = | considerations_preoperative = | considerations_intraoperative = | considerations_postoperative = }} == Overview == === Indications&lt;!-- List and/or describe the indications for this surgical procedure. --&gt; === Fetal myelomeningocele === Surgical procedure&lt;!-- Brief...&quot;</p> <p><b>New page</b></p><div>Fetal myelomeningocele, when diagnosed during pregnancy, can be repaired in utero at fetal surgery centers.<br /> <br /> {{Infobox surgical procedure<br /> | anesthesia_type = <br /> | airway = <br /> | lines_access = <br /> | monitors = <br /> | considerations_preoperative = <br /> | considerations_intraoperative = <br /> | considerations_postoperative = <br /> }}<br /> <br /> == Overview ==<br /> <br /> === Indications&lt;!-- List and/or describe the indications for this surgical procedure. --&gt; ===<br /> Fetal myelomeningocele<br /> <br /> === Surgical procedure&lt;!-- Briefly describe the major steps of this surgical procedure. --&gt; ===<br /> Typically a Pfannenstiel incision is made, and the uterus is externalized.<br /> <br /> == Preoperative management ==<br /> <br /> === Patient evaluation&lt;!-- Describe the unique and important aspects of preoperative evaluation. Add or remove rows from the systems table as needed. --&gt; ===<br /> {| class=&quot;wikitable&quot;<br /> |+<br /> !System<br /> !Considerations<br /> |-<br /> |Airway<br /> |<br /> |-<br /> |Neurologic<br /> |<br /> |-<br /> |Cardiovascular<br /> |<br /> |-<br /> |Pulmonary<br /> |<br /> |-<br /> |Gastrointestinal<br /> |<br /> |-<br /> |Hematologic<br /> |<br /> |-<br /> |Renal<br /> |<br /> |-<br /> |Endocrine<br /> |<br /> |-<br /> |Other<br /> |<br /> |}<br /> <br /> === Labs and studies&lt;!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --&gt; ===<br /> <br /> === Operating room setup&lt;!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --&gt; ===<br /> <br /> === Patient preparation and premedication&lt;!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --&gt; ===<br /> <br /> === Regional and neuraxial techniques&lt;!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --&gt; ===<br /> Epidural for postoperative pain management<br /> <br /> == Intraoperative management ==<br /> <br /> === Monitoring and access&lt;!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --&gt; ===<br /> <br /> === Induction and airway management&lt;!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --&gt; ===<br /> <br /> === Positioning&lt;!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --&gt; ===<br /> <br /> === Maintenance and surgical considerations&lt;!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --&gt; ===<br /> Nitroglycerin and magensium infusions for uterine relaxation<br /> <br /> norepi or phenylephrine infusion to counteract<br /> <br /> === Emergence&lt;!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --&gt; ===<br /> <br /> == Postoperative management ==<br /> <br /> === Disposition&lt;!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --&gt; ===<br /> <br /> === Pain management&lt;!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --&gt; ===<br /> <br /> === Potential complications&lt;!-- List and/or describe any potential postoperative complications for this case. --&gt; ===<br /> <br /> == Procedure variants&lt;!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the &quot;Ω&quot; tool in the editor). --&gt; ==<br /> <br /> {| class=&quot;wikitable wikitable-horizontal-scroll&quot;<br /> |+<br /> !<br /> !Variant 1<br /> !Variant 2<br /> |-<br /> |Unique considerations<br /> |<br /> |<br /> |-<br /> |Indications<br /> |<br /> |<br /> |-<br /> |Position<br /> |<br /> |<br /> |-<br /> |Surgical time<br /> |<br /> |<br /> |-<br /> |EBL<br /> |<br /> |<br /> |-<br /> |Postoperative disposition<br /> |<br /> |<br /> |-<br /> |Pain management<br /> |<br /> |<br /> |-<br /> |Potential complications<br /> |<br /> |<br /> |}<br /> <br /> == References ==<br /> <br /> [[Category:Surgical procedures]]</div>

Tony.Wang