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Engagement Report for Clinical Commissioning PoliciesUnique Reference Number1782Policy TitleOpen Fetal Surgery to treat fetuses with congenital open spina bifida (the main types of which are myelomeningocoele
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01
Begin by preparing the patient in a sterile operating room environment.
02
Administer anesthesia to the mother to ensure her comfort and safety during the procedure.
03
Make an incision in the mother's abdomen, carefully avoiding any harm to the fetus.
04
Use ultrasound guidance to locate and expose the fetus for the surgical intervention.
05
Perform the necessary surgical procedure on the fetus, following the established guidelines.
06
Close the incision in the mother's abdomen with sutures or staples.
07
Monitor the mother and fetus closely postoperatively to ensure their well-being.
08
Provide appropriate follow-up care and support to the patient and her family.
Who needs open fetal surgery to?
01
Open fetal surgery is typically performed on pregnant women who have diagnosed fetal abnormalities or conditions that require surgical intervention.
02
It is often recommended when other non-invasive treatment options are not feasible or effective.
03
Examples of conditions that may require open fetal surgery include spina bifida, congenital diaphragmatic hernia, twin-to-twin transfusion syndrome, and certain cardiac defects.
04
The decision to undergo open fetal surgery is made on a case-by-case basis, considering the specific condition, its severity, and the potential benefits and risks for both the mother and the fetus.
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