Use of intrauterine shunts in fetal surgery

Acosta J.M.; Ávila L.L.; Guevara E.G. · Revista Peruana de Ginecologia y Obstetricia (2024) · DOI: 10.31403/rpgo.v70i2609

Resumen

Since the 1960s, fetal medicine has evolved rapidly. Thanks to advances in technology and the training of experts in this branch of medicine, it has become possible to make more accurate diagnoses of fetal pathologies. Most of these pathologies can be treated postnatally. However, in some cases prenatal intervention is required since otherwise the pregnancy may culminate in fetal death or serious sequelae in the newborn. Intrathoracic pathologies with mediastinal compression, aortic stenosis, lower urinary obstruction, congenital diaphragmatic hernia, myelomeningocele, lower urinary obstruction, intrauterine intravascular transfusion, fetus-fetal transfusion syndrome and TRAP sequence, among others, are the fetal pathologies susceptible to in-utero therapy. The present article refers to the use of intrauterine shunts in fetal surgery.