Percutaneous fetoscopic patch coverage of experimental lumbosacral full-thickness skin lesions in sheep: A minimally invasive technique to minimize maternal trauma from fetal surgery for myelomeningocele

Surgical Endoscopy and Other Interventional Techniques

Volumn 17, Issue 8, 2003, Pages 1218-1223

  Kohl, T ^a,b   Hartlage, M G ^b   Kiehitz, D ^b   Westphal, M ^b   Buller, T ^b   Achenbach, S ^b   Aryee, S ^b   Gembruch, U ^a   Brentrup, A ^b  

^a UNIVERSITY OF BONN   (Germany)

^b UNIVERSITY HOSPITAL MÜNSTER   (Germany)

Author keywords

Fetal surgery; Fetoscopy; Myelomeningocele; Robotic surgery; Sheep; Spina bifida

Indexed keywords

COLLAGEN; POLITEF;

ANIMAL MODEL; ARTICLE; ENDOSCOPIC SURGERY; FETOSCOPY; FETUS SURGERY; MENINGOMYELOCELE; MINIMALLY INVASIVE SURGERY; NEURAL TUBE DEFECT; NONHUMAN; PRIORITY JOURNAL; ROBOTICS; SHEEP; SKIN DEFECT; SPINA BIFIDA; SPINAL CORD MALFORMATION; SURGICAL APPROACH; SUTURE; WOUND CLOSURE;

ANIMALS; COLLAGEN; FEASIBILITY STUDIES; FEMALE; FETAL DEATH; FETOSCOPY; HYPOTENSION; LUMBOSACRAL REGION; MENINGOMYELOCELE; MODELS, ANIMAL; POLYTETRAFLUOROETHYLENE; POSTOPERATIVE COMPLICATIONS; PREGNANCY; PREGNANCY COMPLICATIONS; PROSTHESES AND IMPLANTS; ROBOTICS; SHEEP; SPINAL DYSRAPHISM; SUTURE TECHNIQUES;

EID: 0042860117     PISSN: 09302794     EISSN: 14322218     Source Type: Journal    
DOI: 10.1007/s00464-002-9184-0     Document Type: Article

References (15)

1. Aaronson OS, Tulipan NB, Cywes R, Sundell HW, Davis GH, Bruner JP, Richards WO (2002) Robot-assisted endoscopic intrauterine myelomeningocele repair: a feasibility study. Pediatr Neurosurg 36: 85-89
2. Bruner JP, Tulipan NE, Paschall RL, Boehm FH, Walsh WF, Silva SR, Hernanz-Schulman M, Lowe LH, Reed GW (1999) Fetal surgery for myelomeningocele and the incidence of shunt-dependent hydrocephalus. J Am Med Assoc 282: 1819-1825
3. Bruner JP, Tulipan NE, Richards WO (1997) Endoscopic coverage of fetal open myelomeningocele in utero. Am J Obstet Gynecol 176: 256-257
4. Bruner JP, Tulipan NB, Richards WO, Walsh WF, Boehm FH, Vrabcak EK (2000) In utero repair of myelomeningocele: a comparison of endoscopy and hysterotomy. Fetal Diagn Ther 15: 83-88
5. Copeland ML, Bruner JP, Richards WO, Sundell HW, Tulipan NB (1993) A model for in utero endoscopic treatment of myelomeningocele. Neurosurgery 33: 542-544
6. Kohl T, Strumper D, Witteler R, Merschhoff G, Alexiene R, Callenbeck C, Asfour B, Reckers J, Aryee S, Vahlhaus C, Vogt J, Van Aken H, Scheld HH (2000) Fetoscopic direct fetal cardiac access in sheep: an important experimental milestone along the route to human fetal cardiac intervention. Circulation 102: 1602-1604
7. Kohl T, Szabo Z, Suda K, Petrossian E, Ko E, Kececioglu D, Moore P, Silverman NH, Harrison MR, Chou TM, Hanley FL (1997) Fetoscopic and open transumbilical fetal cardiac catheterization in sheep. Potential approaches for human fetal cardiac intervention. Circulation 95: 1048-1053
8. Kohl T, Szabo Z, Suda K, Quinn TM, Petrossian E, Harrison MR, Hanley FL (1997) Percutaneous fetal access and uterine closure for fetoscopic surgery. Lessons learned from 16 consecutive procedures in pregnant sheep. Surg Endosc 11: 819-824
9. Kohl T, Witteler R, Strümper D, Gogarten W, Asfour B, Reckers J, Merschhoff G, Marcus AE, Weyand M, Van Aken H, Vogt J, Scheld HH (2000) Operative techniques and strategies for minimally invasive fetoscopic fetal cardiac interventions in sheep. Surg Endosc 14: 424-430
10. Olutoye OO, Adzick NS (1999) Fetal surgery for myelomeningocele. Semin Perinatol 23: 462-473
11. Paek BW, Farmer DL, Wilkinson CC, Albanese CT, Peacock W, Harrison MR, Jennings RW (2000) Hindbrain herniation develops in surgically created myelomeningocele but is absent after repair in fetal lambs. Am J Obstet Gynecol 183: 1119-1123
12. Sutton LN, Adzick NS, Bilaniuk LT, Johnson MP, Crombleholme TM, Flake AW (1999) Improvement in hindbrain herniation demonstrated by serial fetal magnetic resonance imaging following fetal surgery for myelomeningocele. J Am Med Assoc 282:1826-1831
13. Tulipan N, Hernanz-Schulman M, Bruner JP (1998) Reduced hindbrain herniation after intrauterine myelomeningocele repair: a report of four cases. Pediatr Neurosurg 29: 274-278
14. Tulipan N, Hernanz-Schulman M, Lowe HJ, Bruner JP (1999) Intrauterine myelomeningocele repair reverses preexisting hind-brain herniation. Pediatr Neurosurg 31: 137-142
15. Walsh DS, Adzick NS, Sutton LN, Johnson MP (2001) The rationale for in utero repair of myelomeningocele. Fetal Diagn Ther 16: 312-322