Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/94646
Type: Artigo de periódico
Title: Fetal Myelomeningocele And The Potential In-utero Repair: Follow-up Of 58 Fetuses [evolução De 58 Fetos Com Meningomielocele E O Potencial De Reparo Intra-útero]
Author: Sbragia L.
Machado I.N.
Braidos Rojas C.E.
Zambelli H.
Lopes Miranda M.
Bianchi M.O.
Barini R.
Abstract: Introduction: Prenatal diagnosis of myelomeningocele (MM) allows planning its management and, recently, a possible in utero repair. Objective: To describe the perinatal outcome of fetuses with MM, in a Fetal Medicine Unit, identifying possible candidates for the in utero surgical repair. Methodo: Retrospective and descriptive study of 58 cases of prenatally diagnosed MM, at CAISM-UNICAMP, from January 1997 to December 2001, identifying possible fetal candidates for in utero repair. Results: the diagnosis mean gestacional age was 29 weeks (17-39); level of lesions was above sacral region in 85%, association with hydrocephaly in 86%. Surgical complications were present in 39% of the neonates. During follow-up, 98% presented neurogenic bladder and 60% neurological/mental handicap. Twenty eight fetuses (42%) could have indication of in utero repair. Conclusion: MM is associated with severe and frequent poor results. Almost one third of our cases could had fetal repair as a treatment choice.
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Rights: aberto
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Address: http://www.scopus.com/inward/record.url?eid=2-s2.0-3142743423&partnerID=40&md5=984e520f5837fd30267f37cbd98a89ba
Date Issue: 2004
Appears in Collections:Unicamp - Artigos e Outros Documentos

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