Cirugía fetal

Dr. Joaquín Bustillos Villavicencio
Médico perinatólogo, Unidad de Perinatología, Hospital San Juan de Dios, San José, Costa Rica.
Miembro del Colegio de Médicos y Cirujanos de Costa Rica.
Costa Rica.

Dra. Carolina Mata Brenes
Médico general, Servicio de Gineco-Obstetricia, Hospital Max Peralta, Cartago, Costa Rica.
Miembro del Colegio de Médicos y Cirujanos de Costa Rica.
Costa Rica.

Resumen

La cirugía fetal es una alternativa para mejorar los resultados del paciente para una gran cantidad de enfermedades como lo son el síndrome de transfusión feto–feto y el mielomeningocele, entre muchas otras. Esta revisión pretende dar a conocer un tema que en nuestro país era desconocido, a pesar de que estos procedimientos ya se han empezado a realizar con éxito en nuestro medio. La aplicación del ultrasonido ha permitido la identificación prenatal oportuna y adecuada del paciente potencialmente tratable mediante estas técnicas. Se revisó la evidencia existente de los beneficios que estas terapias aportan tanto al feto como a la madre. Se concluye que es una especialidad multidisciplinaria donde participan el obstetra, el neonatólogo y el anestesiólogo, entre otros especialistas.

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Palabras claves

Cirugía fetal, feto, fetoscopía, ultrasonido.

Abstract

Fetal surgery is an alternative to improve patient outcomes for a large number of diseases such as twin to twin transfusion syndrome, myelomeningocele and many others. This review seeks to highlight an issue unknown in our country, even when these procedures have been done succesfully in our health system. The application of the ultrasound has allow us the correct on time identification of patients potentially treatable with those techniques. The available evidence reviewed have concluded the benefits of those procedures on the fetus as well on their mothers. As conclusion this is a multidisciplinary specialty which requires the participation of the obstetrician, neonatologist, anestesiologist among many others specialties.

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Keywords

Fetal surgery, fetus, fetoscopy, ultrasound.

Bibliografía

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