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Fetal myelomeningocele repair

case report

Authors

  • Waldemar Naves do Amaral Professor in the Department of Gynecology and Obstetrics, Faculty of Medicine, Federal University of Goiás, Goiânia - Goiás, Brazil Autor https://orcid.org/0000-0002-0824-1138
  • Mariana Mérida de Souza Medical Student, Faculty of Medicine, Federal University of Goiás, Goiânia - Goiás, Brazil Autor https://orcid.org/0009-0002-4544-4177
  • Nicolas Felipe Machado Medical Student, Faculty of Medicine, Federal University of Goiás, Goiânia - Goiás, Brazil Autor https://orcid.org/0000-0001-8333-1208
  • Paulo Ronaldo Jubé Ribeiro Coordinator of the Pediatric Neurosurgery Subarea Service at Hospital das Clínicas (HC) and the Faculty of Medicine, Federal University of Goiás (UFG-GO), Goiânia, Goiás, Brazil Autor https://orcid.org/0000-0003-0114-0278

DOI:

https://doi.org/10.29327/2457362.65.66-7

Keywords:

Fetal surgery, Intrauterine surgery, Meningocele surgery

Abstract

Neural tube defects are common in fetal life, particularly those involving neural tube closure, and are often associated with deficiencies in essential nutrients, such as folic acid and vitamin B12. Among the main malformations, myelomeningocele stands out as the most severe form of spina bifida. The purpose of this article is to report the surgical treatment of a 26-week pregnant patient with a fetus diagnosed with myelomeningocele, who was monitored in the malformed fetus outpatient clinic and underwent correction via laparotomy. The surgery was successful, and the newborn was in good general condition without neurological injuries. Early diagnosis should be made during prenatal care, as early correction in the second trimester of pregnancy can be effective in reducing possible motor sequelae. The treatment approaches are laparotomy, the traditional method, and fetoscopy, a newer and less invasive technique.

References

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Published

2024-11-14 — Updated on 2024-11-21

Versions

Issue

Vol. 65 No. 66 (2024): Goiana Journal of Medicine

Section

Case Report

How to Cite

1.
Amaral WN, Souza MM, Machado NF, Ribeiro PRJ. Fetal myelomeningocele repair: case report. Rev Goiana Med [Internet]. 2024 Nov. 21 [cited 2025 Feb. 23];65(66):1-6. Available from: https://amg.org.br/osj/index.php/RGM/article/view/235