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Related Experiment Videos

Cephalocentesis with the modified Smellie's perforator.

B Chanrachakul1, A Chittachareon, Y Herabutya

  • 1Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|January 31, 2002
PubMed
Summary

This study presents a safe and simple method for fetal skull decompression using a modified Smellie

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Area of Science:

  • Maternal-Fetal Medicine
  • Obstetrics
  • Fetal Surgery

Background:

  • Hydrocephalus and polyhydramnios in pregnancy pose significant challenges.
  • Fetal interventions are considered for severe cases, balancing risks and benefits.

Observation:

  • A 37-year-old woman at 31 weeks gestation presented with fetal hydrocephalus (BPD=10.3 cm) and polyhydramnios (AFI=31.5).
  • Esophageal atresia was suspected.
  • Parents opted against invasive cephalocentesis, choosing a less invasive approach.

Findings:

  • Fetal skull decompression was successfully performed using a modified Smellie's perforator.
  • Cervical dilation was achieved with misoprostol.
  • The postpartum period was uneventful.

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Implications:

  • This modified Smellie's perforator technique offers a useful, simple, and safe option for fetal skull decompression.
  • The procedure can be performed without prior specialized experience.
  • It provides an alternative to more invasive fetal interventions.