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- Title
Open fetal surgery for myelomeningocele -- is there the learning curve at reduction mother and fetal morbidity?
- Authors
Horzelska, Ewa I.; Zamlynski, Mateusz; Horzelski, Tomasz; Zamlynski, Jacek; Pastuszka, Agnieszka; Bablok, Rafal; Herman-Sucharska, Izabela; Koszutski, Tomasz; Olejek, Anita
- Abstract
Objectives: We aimed to show how increased experience of a surgery team in fMMC repair influences maternal and fetal/neonatal outcomes. Material and methods: We compare perinatal results of fMMC repair in our Fetal Surgery Center (FSC) in cohort groups for the early period (2005-2011 year; previous -- PFSC, n = 46) and current period (2012-2015 year; current -- CFSC, n = 74) to results of the randomized Management of Myelomeningocele Study (MOMS, 78 patients). Results: The maternal morbidity due to fMMC repair was low and there was no difference comparing CFSC to PFSC and MOMS. The frequency of iatrogenic preterm labor (iPTL) = 30 weeks of gestation decreased from 34.1% in PFSC to 23.9% in CFSC. Iatrogenic preterm premature rupture of membranes (iPPROM) was a common complication after fMMC repair in all cohorts. The total reduction rate of hindbrain hernation (HH) was similar in CFSC -- 90.3% and PFSC -- 82.1%. Conclusions: The increasing experience of our surgery team in fMMC repair majorly decreased the risk of iPTL.
- Subjects
MYELOMENINGOCELE; FETAL diseases; PREMATURE labor; SPINA bifida; IATROGENIC diseases; LEARNING curve
- Publication
Ginekologia Polska, 2020, Vol 91, Issue 3, p123
- ISSN
0017-0011
- Publication type
Article
- DOI
10.5603/GP.2020.0028