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Dr. Angela Mattke, pediatrician, and Dr. Rodrigo Ruano, obstetrician, gynecologist, and fetal surgeon, talk about fetal surgery and congenital diaphragmatic hernia.
Learn more about:
- Reasons to perform fetal surgery
- Congenital diaphragmatic hernia
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What is the benefit of doing a fetal surgery for a CDH patient vs. doing a repair surgery quicker once their are born?
Does performing fetal surgery on a CDH patient reduce the amount of time they spend in the hospital? Does it reduce the likelihood if needing to be trached? Does it reduce the likelihood of needing to go on ECMO?
What are the statistics for babies that get FETO versus those who are in the same category for severity and don't get FETO? My understanding is that the statistics for those who get it are no better than those who don't...
What are the chances of preterm delivery. Everything I've read says 40-50% are born around 34 weeks.
What are the parameters are to qualify for FETO? (LHR, liver placement, mom isn't obese, gestational age, clean genetics, etc) those are some of the ones I remember from when we considered it. My understanding was that they do it on those babies they don't think have much of a chance of surviving anyway. Is that true?
That was my understanding. We didn't qualify until we learned our son was more severe and his chances of survival dropped.
What’s your experience taking care of these babies after birth?
If I went into labor that prematurely would ECMO be an option?!
How many times have you preformed the FETO surgery? How many of those attempts resulted in a healthy baby going home with his or her family?
What are the risks of preterm birth with FETO? What is the likelihood of survival if preterm birth occurs?