Gimenez Alejandro, Kopkin Rachel, Chang Daniel K, Belfort Michael, Reece Edward M
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
School of Medicine, Health Sciences Center, Louisiana State University, New Orleans, Louisiana.
Semin Plast Surg. 2019 Aug;33(3):204-212. doi: 10.1055/s-0039-1693431. Epub 2019 Aug 2.
Scarless healing has long been the holy grail for plastic surgery. While historically fetal surgery has tempted plastic surgeons with the allure of scarless correction of congenital abnormalities, the risks far outweighed the benefits and these interventions never materialized. Current advances in fetal surgery with minimally invasive fetoscopic surgery have made these early fetal interventions safer, leading to expanding applications. While the plastic surgeon's role is limited as of yet, this article provides a review of the history of fetal surgery and the advances that may become relevant to the future plastic surgeon.
无痕愈合长期以来一直是整形手术的圣杯。从历史上看,胎儿手术曾以无痕矫正先天性畸形的诱人前景吸引着整形外科医生,但风险远远超过益处,这些干预措施从未付诸实践。当前微创胎儿镜手术在胎儿手术方面的进展使这些早期胎儿干预措施更加安全,从而导致其应用不断扩大。虽然整形外科医生目前的作用仍然有限,但本文回顾了胎儿手术的历史以及可能与未来整形外科医生相关的进展。