Return of the Disruption Score: Fetal Surgery in the Spotlight (1975–2021)

Fetal surgery is a highly specialized multidisciplinary field which evolved from pediatric surgery and maternal–fetal medicine. The published works that define the field are found across the spectrum of subspeciality journals, making a comprehensive review of the literature difficult. The disruption score is a bibliometric tool which places each published work in the context of the existing literature with negative scores representing developmental works and positive scores representing disruptive works, which tend to be paradigm shifting.