Fetal surgery

Thanks thanks to medical progress, makes the fetus does not have the opportunity to undergo surgery before birth; correction of some congenital defects. Fetal surgery is still in development, is a fine and even borders on \"miracle\" of advanced technology. Fetal surgery is combined with other advanced surgery, joint experiments. Now through this surgery and the correction of defects is rather limited. So keep on try, evaluate new methods, in order to detect where the problem. On both sides while the effect of fetal surgery on physiological and psychological parent has a tremendous impact, but most couples also handle quite well. Fetal diagnosis of patients with severe diseases or defects, and doctors immediately when operated on, the hospital provides a wide range of advisory, to help parents decide whether to agree to surgery. Although the \"fetal surgery\" technical progress quickly, but is still an experimental stage, the most complex technical parts continued testing does have its missing. However, some experienced medical center, such as fetal blood transfusion technology might have been fixed in the implementation of the operation. If the operation is successful, returns on rather large, and has an impact on fertility of the mother and not. Many of the women is pregnant again later, but everything is normal. Less successful surgery, may result in miscarriages, preterm birth and the need for caesarean section. After the surgery, mother there may be some complications, the considerable pressure on mothers. Ultrasound scanning guidelines operative in fetal surgery one of the most commonly used method, is under the guidance of ultrasound, to insert the syringe since the mother\'s abdomen, find the position of the uterus and amniotic membrane. Ultrasound can let physicians see the unborn child, and make it to carefully handle the fetal blood vessels and sampling, while also have taken this approach to some medications or blood enter the fetal body. Using ultrasound scan can solve some fatal flaws. Incompatibility between mother and fetus of Rh and other immune system, you can use intrauterine transfusion resolution; also can be treated with fetal heart rate is not the whole or the anticancer drug injection of fetal; the draft tube is placed in the brain of fetal body water, to exclude the excessive cerebral spinal fluid, are carried out under the guidance of ultrasound scanning. In addition, it also can be used to boot a small pincer, a knife, for delicate surgery. Intrauterine transfusion if the mother is Rh negative, fetal Rh positive, the Rh incompatibility can cause serious fetal anemia. In this case, fetal blood transfusion must accept at least once, until peace out. Fresh Rh negative blood will inject fetal body, injection volume as the status of anemia in fetal weight and may be. Fetal anemia is usually very successful, but sometimes several times whether blood transfusion, Rh incompatibility can cause serious miscarriage or stillbirth. Effect of blood transfusions in the past has been quite good, but some recent studies have begun to explore Rh negative bone marrow injection, can stimulate fetal into Rh negative, to exclude incompatible phenomena. Another more common situation incompatible maternal, fetal, is the mother produces antibodies destroy the platelet of fetus; may improve blood agglutination of platelet, lack of time will keep the risk of bleeding and even death. Platelet transfusion in this situation as soon as you can, in severe cases can enter antibody to antibody interaction and mother, enabling it to be neutralized.
Fetal surgery (b) Urinary diversion fetus when the ureter is blocked or narrowed, caused water in the urine will focus on kidney and kidney (hydronephrosis), if not treated, the kidney will be seriously damaged if on either side of the kidney are affected, you may cause renal failure. Sometimes can be inserted into draft tube water kidney (hydronephrosis) problems. Some diseases cannot open fetal surgery using ultrasound guidance, the common open surgery – the womb open, take out the fetal surgery, this technique is often used to treat because of porous diaphragm, makes the abdominal organs to muscle in pleural effusion, lung damage caused by, or used to when certain tumor resection. Operation this operation not surgery as ultrasound guidance, under local anesthesia on the line, mother and the fetus must go hand in hand with General anesthesia. Anesthesia on the mother\'s abdomen after partial application to find out the uterus, placenta and ultrasound to determine location, so as not to harm the placenta, incision and uterine and amniotic membrane about 12 centimeters long, export of amniotic fluid and keep warm, gently remove the fetal surgery. Amniotic membrane and after uterine surgery for absorbable seam, abdominal wall with joint up. After the surgery is complete after the operation, fetus and amniotic fluid and then been reset back to the womb, while adding some antibiotics to prevent infection, surgery to absorbable suture of amniotic membrane and after uterine seam. After the surgery, mother to lie in bed for at least 3 days, during this time, status of the fetus and the mother must be carefully tracking, typically within 10 days to return home. Due to the stimulation can cause uterine contractions and preterm birth, so Yi taking suppression of uterine contraction drugs after surgery. Although everything is okay, but after surgery is usually early in fetal birth or caesarean section. Fetal surgery in the future consideration of whether the conduct of the fetus is, or no better than at the antenatal postnatal surgery. Fetal death of May. Usually sooner on fetal surgery, higher the chances of success are, this may be because the development of fetal wound healing faster and some smooth development of the organ cannot be without the correction of shortcomings, will be adversely affected. For example, in the case of diaphragm heniya, if prenatal operation will not affect development of other organs. For the operation of the appropriate time, as the case may be, can usually correct diagnosis of the most important. As for blood incompatibility issues, early in the pregnancy to blood transfusion, such diseases are genetic diseases that can be expected to occur. There have been a little in 11-week-old fetus, that is about 5 cm received 25 of blood transfusion. But most incomplete until the organ of the body after or other development related to the affected organ, is easier to stand out, so only after surgical correction of defects usually within 18 weeks.