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|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]|
Braidos Rojas C.E.
Lopes Miranda M.
|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.|
|Appears in Collections:||Unicamp - Artigos e Outros Documentos|
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