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Innovations in Fetal and Neonatal Surgery, An Issue of Clinics in Perinatology - E-Book

Innovations in Fetal and Neonatal Surgery, An Issue of Clinics in Perinatology - E-Book

Hanmin Lee | Ronald B. Hirschl

(2012)

Additional Information

Book Details

Abstract

The Guest Editors have assembled a list of topics that provide state-of-the-art coverage on fetal surgery. Topics covered include fetal cardiac intervention, abdominal wall defects, NEC, esophageal atresia, and spinia bifida.  Some articles provide the clinical basics, like general concepts of fetal surgery, while others provide a detailed look at CDH in utero, CDH post natal, ECMO/placenta, stem cell, and anorectal malformations.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Clinics in Perinatology i
Copyright Page ii
Contributors iii
Table of Contents vii
Foreword: The Surgical Neonate: We Need to Track Outcomes xiii
Preface xv
Chapter 1. Maternal-Fetal Surgery:\r History and General Considerations 269
INTRODUCTION 269
LAYING THE FOUNDATION 270
ENABLING FACTORS 270
ANIMAL MODELS 271
THE EARLY DAYS: UCSF AND BEYOND 271
FETAL SURGERY MATURES: TRIALS AND TRIBULATIONS 272
CONSIDERATIONS IN A FETAL TREATMENT PROGRAM 275
SUMMARY 277
REFERENCES 277
Chapter 2. Fetal Surgery for Myelomeningocele 279
BACKGROUND 279
RATIONALE FOR FETAL REPAIR OF MMC 280
ANIMAL MODELS 280
EARLY HUMAN EXPERIENCE 281
THE MANAGEMENT OF MYELOMENINGOCELE STUDY 283
NEW DIRECTIONS 283
SUMMARY 285
REFERENCES 285
Chapter 3. Advances in Prenatal Diagnosis and Treatment of Congenital Diaphragmatic Hernia 289
INTRODUCTION 289
REVERSING CDH-INDUCED LUNG HYPOPLASIA 292
OPEN REPAIR IN HUMANS 293
RANDOMIZED CONTROLLED TRIAL FOR FETAL TRACHEAL OCCLUSION 296
TRACHEAL OCCLUSION: THE EUROPEAN EXPERIENCE 296
FUTURE DIRECTIONS FOR TRACHEAL OCCLUSION 297
SUMMARY 297
REFERENCES 297
Chapter 4. In Utero Hematopoietic Cell Transplantation for the Treatment of Congenital Anomalies 301
INTRODUCTION 301
THERAPEUTIC RATIONALE 302
ANIMAL EXPERIENCE WITH IUHCTx 303
HUMAN CLINICAL EXPERIENCE 304
FACTORS LIMITING ENGRAFTMENT AFTER IUHCTx 305
COMPLICATIONS 306
FUTURE DIRECTIONS 306
REFERENCES 306
Chapter 5. Advances in Neonatal Extracorporeal Support: The Role of Extracorporeal Membrane Oxygenation and the Artificial Placenta 311
PROGRESS IN PERINATAL/NEONATAL EXTRACORPOREAL MEMBRANE OXYGENATION 312
NOVEL USES OF ECMO 317
ARTIFICIAL PLACENTA 319
REFERENCES 323
Chapter 6. Congenital Lung Lesions 331
PRENATAL DIAGNOSIS AND TREATMENT 331
POSTNATAL CLASSIFICATION OF CLLs 334
CLLs AND MALIGNANCY 337
POSTNATAL MANAGEMENT 337
SUMMARY 341
REFERENCES 341
Chapter 7. Surgical Advances in the Fetus and Neonate: Esophageal Atresia 349
EMBRYOLOGY 350
PRENATAL DIAGNOSIS 350
SHORT-GAP ATRESIA 352
LONG-GAP ATRESIA 354
SUMMARY 358
REFERENCES 359
Chapter 8. Innovations in the Surgical Management of Congenital Diaphragmatic Hernia 363
OBJECTIVES 363
INTRODUCTION 363
SURGICAL APPROACH 364
DIAPHRAGMATIC REPLACEMENTS 365
RISK STRATIFICATION FOR CDH 369
SUMMARY 370
REFERENCES 370
Chapter 9. Advances in Surgery for Abdominal Wall Defects: Gastroschisis and Omphalocele 375
OMPHALOCELE 375
GASTROSCHISIS 379
SUMMARY 382
REFERENCES 382
Chapter 10. Necrotizing Enterocolitis 387
INTRODUCTION 387
EPIDEMIOLOGY 387
PATHOGENESIS 389
DIFFERENTIAL DIAGNOSIS 392
TREATMENT 392
POSTOPERATIVE CARE AND SHORT-TERM OUTCOMES 394
PROGNOSIS/LONG-TERM OUTCOMES 395
PREVENTION 396
FUTURE DIRECTIONS 397
SUMMARY 397
REFERENCES 397
Chapter 11. Anorectal Malformations 403
HISTORY 403
EPIDEMIOLOGY 404
EMBRYOLOGY 404
GENETICS 404
DIAGNOSIS AND WORKUP 405
LESIONS IN THE MALE 410
LESIONS IN THE FEMALE 415
COMPLICATIONS AND LONG-TERM PROBLEMS 419
SUMMARY 420
REFERENCES 420
Index 423