Gupta Nalin
Departments of Neurological Surgery and Pediatrics, University of California San Francisco, 550 16th St., 4th Floor, San Francisco, CA, 94143-0137, USA.
Childs Nerv Syst. 2017 Jul;33(7):1143-1148. doi: 10.1007/s00381-017-3439-5. Epub 2017 May 16.
The current standard for fetal repair of myelomeningocele is an open exposure of the gravid uterus with control of the amniotic membranes, and then a multi-layer closure of the fetal defect. The nature of the surgical repair has evolved and requires a series of steps that take into account the delicate nature of the fetal tissues. The individual surgical steps are described including potential pitfalls.
目前胎儿脊髓脊膜膨出修复的标准方法是打开妊娠子宫，暴露羊膜并加以控制，然后对胎儿缺损进行多层缝合。手术修复的方式已经有所发展，需要一系列考虑到胎儿组织脆弱性的步骤。文中描述了各个手术步骤，包括潜在的陷阱。
