Perinatal outcomes after open fetal surgery for myelomeningocele repair: a retrospective cohort study.

ABSTRACT:

Objective

Describe outcomes of open fetal surgery for myelomeningocele (MMC) repair in two Brazilian hospitals and the impact of surgical experience on outcome.

Design

Retrospective cohort study.

Setting

Sao Paulo, Brazil.

Population

237 pregnant women carrying a fetus with an open spinal defect.

Methods

Surgical details, and maternal and fetal outcomes collected from all patients.

Main outcome measures

Analysis of surgical and perinatal outcome parameters.

Results

Total surgical time was 119 ± 7.6 minutes. Preterm labour occurred in 24.2%, premature rupture of membranes in 26.7%, placental abruption in 0.8%, need for a blood transfusion at delivery in 2.1%, and dehiscence at the repair site in 2.5%. Reversal of hindbrain herniation at birt

SUBMITTER: Moron AF 

PROVIDER: S-EPMC6100098 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature