Prof. Dr. Ali EKİZ

Prof. Dr. Ali EKİZ

Gynecology and Perinatology (Risky Pregnancy) Specialist

With over 15 years of professional experience, dozens of national and international research articles, and most importantly, his smiling face, Gynecology and Perinatology Specialist Prof. Dr. Ali EKİZ is with you.

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What is Fetal Surgery? How is it applied?

What is Fetal Surgery? How is it applied?

Fetal surgery refers to the surgical treatment of the developing fetus in the womb. These surgical interventions are performed to correct congenital structural abnormalities in the fetus or, in some cases, to treat life-threatening conditions. In the continuation of our article, you can find details about what you need to know about fetal surgery.

What is Fetal Surgery?

Fetal surgery includes surgical interventions performed while the fetus is in the womb. In these procedures, the preferred gestational week is variable depending on the problem and how it is treated. Fetal surgery is preferred especially for some structural anomalies or for fetuses that will be severely damaged or lost if they wait until delivery.

How is Fetal Surgery Applied?

Fetal surgery can be performed with three main methods:

1. Fetoscopic (Closed) Surgery: Laparoscopic surgery is performed using a fetoscope (a thin telescopic device) that is inserted into the uterus of the fetus. The fetoscope is inserted directly into the uterus and is used to observe the fetus and perform surgery. Fetoscopic surgery includes procedures such as laser application and fetoscopic tracheal occlusion.

2. Semi-open surgery: In this case, the anterior abdominal wall of the pregnant woman is opened as in open surgery and the uterus is taken out. However, uterine incision is not made and the treatment is performed fetoscopically. It is the most common procedure for spina bifida.

3. Open Surgery: With these methods, the anterior abdominal wall of the pregnant is opened, the uterus is taken out, an opening is created in the uterus and the fetus is operated from this region. Again, it is the method most commonly applied for spina bifida.

Fetal surgery is being developed for the treatment of many conditions such as cardiac anomalies, spina bifida, cystic lung lesions, fetal hydrocephalus and some congenital abnormalities. Such surgical procedures are performed by specialist fetal surgeons and a multidisciplinary team. After the procedure, careful follow-up and correct care of the fetus and mother are provided.

In Which Situations Is Fetal Surgery Applied?

Some examples of the characteristics of candidate fetuses for fetal surgery are given below;

• Life-threatening conditions: Fetuses in the so-called Hydrops fetalis, who are about to die for various reasons, are the most important candidates for these surgeries.

• Twin-Twin Transfusion Syndrome (TTTS): TTTS is a condition known as twins stealing each other’s blood in identical twins. It can be treated fetoscopically.

• Spina bifida: Open fetal surgery for spina bifida is the most common open fetal surgery performed worldwide.

• Diaphragmatic hernia: Congenital diaphragmatic hernia is a condition that causes the fetal abdominal organs to pass into the chest cavity. This condition is treated fetoscopically by placing a balloon in the baby’s respiratory tract.

• Congenital urinary tract anomalies: In a situation where the kidneys of the fetus produce urine but cannot excrete this urine, the fetus can be treated by performing a vesicoamniotic shunt operation on the urinary bladder.

Which procedure should be performed on which fetus?

If the obstetrician suspects an abnormality in the womb, he or she will refer you to Perinatology (risk pregnancy specialist). This is the most important step. The perinatologist makes a detailed ultrasound and determines what the anomaly is in the fetus and how to treat it. Performing surgery in the womb requires a separate experience and knowledge in this field.

For all kinds of interventions that need to be done in the mother’s womb, Prof. Dr. You can get support from Ali Ekiz.

MAKE YOUR APPOINTMENT WITH PROF. DR. ALİ EKİZ!

You can make your appointment with Perinatology (Risky Pregnancy) Specialist Prof. Dr. Ali Ekiz via the WhatsApp button.

Other Fetal Surgery Topics

Contact us to get information about Laser Ablation in TTTS?
Contact us to get information about Fetal Anomalies
Contact us for information about Multiple Pregnancy Interventions?
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