Myelomeningocele repair in utero
From WikiAnesthesia
Fetal myelomeningocele, when diagnosed during pregnancy, can be repaired in utero at fetal surgery centers.
Myelomeningocele repair in utero
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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 | ||
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References
Top contributors: Tony Wang