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Treatment of spina bifida during pregnancy is not without risk. [73] To the mother, this includes scarring of the uterus. [73] To the baby, there is the risk of preterm birth. [73] Broadly, there are two forms of prenatal treatment. The first is open fetal surgery, where the uterus is opened and the spina bifida repair performed.
Hand of Hope is a 1999 medical photograph taken by Michael Clancy during open fetal surgery, showing the hand of the fetus extending from the incision in the mother's uterus and seeming to grasp a surgeon's finger. Clancy was documenting a procedure being developed at Vanderbilt University to treat spina bifida. The photograph was taken on 19 ...
After the uterus is closed back up, the fetus will ideally remain in the womb for the remainder of the pregnancy. ... "Although the surgery was a success, spina bifida is never cured," the surgeon ...
Spina bifida is characterized by a midline cleft in the vertebral arch. It usually causes no symptoms in dogs. It is seen most commonly in Bulldogs and Manx cats. [5] In Manx it accompanies a condition known as sacrocaudal dysgenesis that gives these cats their characteristic tailless or stumpy tail appearance.
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Fetoscopy is an endoscopic procedure during pregnancy to allow surgical access to the fetus, the amniotic cavity, the umbilical cord, and the fetal side of the placenta.A small (3–4 mm) incision is made in the abdomen, and an endoscope is inserted through the abdominal wall and uterus into the amniotic cavity.
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Risks of fetal surgery, specifically prenatal spina bifida repair, include premature rupture of membranes, uterine rupture in future pregnancies, premature birth and intraspinal inclusion cysts or a tethered cord in the fetus or newborn baby. [4] Open fetal surgery has proven to be reasonably safe for the mother. [3]