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Maternal and perinatal outcomes of minimally invasive fetal surgeries: experience from two reference centers in Rio de Janeiro, Brazil.
Ávila, Luísa Moreira de; Carvalho, Paulo Roberto Nassar de; Sá, Renato Augusto Moreira de; Gomes Junior, Saint Clair; Araujo Júnior, Edward.
Afiliação
  • Ávila LM; Post-graduate Student. Department of Fetal Medicine, Instituto Fernandes Figueira, Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro (RJ), Brazil.
  • Carvalho PRN; Professor, Strictu Sensu Post-graduation, Department of Fetal Medicine, Instituto Fernandes Figueira, Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro (RJ), Brazil.
  • Sá RAM; Research in Public Health. Department of Fetal Medicine, Instituto Fernandes Figueira, Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro (RJ), Brazil.
  • Gomes Junior SC; Research in Public Health. Department of Fetal Medicine, Instituto Fernandes Figueira, Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro (RJ), Brazil.
  • Araujo Júnior E; Associate Professor, Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), São Paulo (SP), Brazil.
Sao Paulo Med J ; 142(5): e2023159, 2024.
Article em En | MEDLINE | ID: mdl-38896578
ABSTRACT

BACKGROUND:

Concerns regarding high open surgery-related maternal morbidity have led to improvements in minimally invasive fetal surgeries.

OBJECTIVE:

To analyze the perinatal and maternal outcomes of minimally invasive fetal surgery performed in Rio de Janeiro, Brazil. DESIGN AND

SETTING:

Retrospective cohort study conducted in two tertiary reference centers.

METHODS:

This retrospective descriptive study was conducted using medical records from 2011 to 2019. The outcomes included maternal and pregnancy complications, neonatal morbidity, and mortality from the intrauterine period to hospital discharge.

RESULTS:

Fifty mothers and 70 fetuses were included in this study. The pathologies included twin-twin transfusion syndrome, congenital diaphragmatic hernia, myelomeningocele, lower urinary tract obstruction, pleural effusion, congenital upper airway obstruction syndrome, and amniotic band syndrome. Regarding maternal complications, 8% had anesthetic complications, 12% had infectious complications, and 6% required blood transfusions. The mean gestational age at surgery was 25 weeks, the mean gestational age at delivery was 33 weeks, 83% of fetuses undergoing surgery were born alive, and 69% were discharged from the neonatal intensive care unit.

CONCLUSION:

Despite the small sample size, we demonstrated that minimally invasive fetal surgeries are safe for pregnant women. Perinatal mortality and prematurity rates in this study were comparable to those previously. Prematurity remains the most significant problem associated with fetal surgery.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Minimamente Invasivos Limite: Adult / Female / Humans / Newborn / Pregnancy País/Região como assunto: America do sul / Brasil Idioma: En Revista: Sao Paulo Med J Assunto da revista: MEDICINA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Minimamente Invasivos Limite: Adult / Female / Humans / Newborn / Pregnancy País/Região como assunto: America do sul / Brasil Idioma: En Revista: Sao Paulo Med J Assunto da revista: MEDICINA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil