Myelomeningocele repair in utero
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Revision as of 06:25, 25 April 2024 by Tony Wang (talk | contribs) (Created page with "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<!-- List and/or describe the indications for this surgical procedure. --> === Fetal myelomeningocele === Surgical procedure<!-- Brief...")
Fetal myelomeningocele, when diagnosed during pregnancy, can be repaired in utero at fetal surgery centers.
Myelomeningocele repair in utero
| Anesthesia type | |
|---|---|
| Airway | |
| Lines and access | |
| Monitors | |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative | |
| Postoperative | |
| Article quality | |
| Editor rating | |
| User likes | 0 |
Overview
Indications
Fetal myelomeningocele
Surgical procedure
Typically a Pfannenstiel incision is made, and the uterus is externalized.
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Airway | |
| Neurologic | |
| Cardiovascular | |
| Pulmonary | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Epidural for postoperative pain management
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Maintenance and surgical considerations
Nitroglycerin and magensium infusions for uterine relaxation
norepi or phenylephrine infusion to counteract
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Indications | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |
References
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