Error Traps in Fetal Surgery
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In brief
In brief
This article identifies common error traps in fetal surgery—techniques that typically work well but fail under specific circumstances. Authors review pitfalls across ultrasound-guided procedures, fetoscopic surgery, open fetal surgery, and EXIT procedures, providing strategies to avoid complications and improve outcomes.
Written by the GCMD Library team from the article.
Publication date: Available online 25 April 2019
Source: Seminars in Pediatric Surgery
Author(s): Jose L Peiro, Timothy M Crombleholme
Abstract
The growth of the field of fetal surgery over the last two decades driven by new indications and data from prospective randomized trials supporting prenatal intervention has resulted in techniques protocols and methodologies that have gained confidence by insuring good outcomes. Error traps are methods or techniques that usually work well in most of the cases, but which are apt to fail under certain specific circumstances. The very confidence the surgeon develops in these techniques or methodologies makes them a trap for the unwary surgeon. The purpose of this article is to discuss common error traps in fetal interventions, including ultrasound guided procedures, fetoscopic surgery, open fetal surgery and EXIT procedures. Awareness of these error traps and approaches to avoid them may enhance fetal surgical outcomes and reduce complications rates.