Fetoscopic repair of spina bifida: safer and better?
Open spina bifida (OSB) is one of the most common birth defects, and often results in significant, lifelong motor and neurodevelopmental impairment. Minimally invasive fetal surgery has essentially replaced open fetal surgery for most fetal conditions. This article discusses the science behind the current management of prenatally diagnosed OSB, the rationale for considering a minimally invasive approach as an alternative to open fetal surgery, the technical challenges inherent to this approach, and our preliminary clinical results using a fetoscopically applied skin-over-biocellulose technique...

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