Fetoscopic surgery in amniotic band syndrome: report of the frst successful case in Peru with postnatal outcome at 6 and 12 months of life

Guevara E.G.; Acosta J.M.; Arias J.M.; Gonzales O.; Acuña L.; Chang C.; Miranda B. · Revista Peruana de Ginecologia y Obstetricia (2022) · DOI: 10.31403/rpgo.v68i2433

Resumen

Amniotic band syndrome (ABS) or amniotic band disruption complex is a congenital malformation that occurs because of amniotic fanges of heterogeneous etiology, a pathogenesis that involves a series of fetal clinical manifestations, such as constriction, amputation, and multiple craniofacial, visceral and wall defects. The estimated prevalence of ABS ranges from 1:15.000 to 1:1.200 liveborn. It afects both sexes equally. Prenatal diagnosis may be suspected as early as the late frst trimester when ultrasound imaging detects constriction rings, limb amputations and/or craniofacial defects. Prenatal therapy may ofer an alternative treatment with release of constriction rings through fetoscopy in those fetuses that would beneft from the procedure.