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Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...

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Fetal Brain Abnormalities Following Laser Surgery for Twin-to-Twin Transfusion Syndrome: Imaging Patterns and Evolution.

Prenatal diagnosis·2026
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Development of IgE autoantibodies in newborns with atopic dermatitis (DIANA): protocol of a prospective, non-interventional, observational birth cohort.

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Prenatal and Perinatal Outcomes in Fetuses With Macrocystic Congenital Pulmonary Airway Malformations: Thoracoamniotic Shunting Versus Expectant Management.

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Enhancing fetal spina bifida repair: do paraspinal myofascial flaps and acellular dermal patches improve postnatal outcomes? A retrospective cohort review.

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Response to Commentary on "Virtual Reality Simulation in Teaching Fetoscopic Laser Placental Photocoagulation in Twin-To-Twin Transfusion Syndrome".

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Foetoscopic Laser Management of Triplet Pregnancies Complicated by Twin-Twin Transfusion Syndrome.

Fetal diagnosis and therapy·2026
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The evolution of nonoperating room anesthesia: navigating a new frontier.

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Enhanced recovery pathways for patients with chronic pain: beyond standard protocols - a narrative review.

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Novel technologies and innovations in postoperative follow-up after regional anesthesia.

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Related Experiment Video

Updated: Jul 5, 2026

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
14:40

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

Published on: October 25, 2015

Fetal surgery for anesthesiologists.

Jan A Deprest1, Elisa Done, Tim Van Mieghem

  • 1Division Woman and Child, Fetal Medicine Unit, University Hospitals Leuven, Belgium. Jan.Deprest@uzleuven.be

Current Opinion in Anaesthesiology
|May 7, 2008
PubMed
Summary
This summary is machine-generated.

Fetal surgery, both open and endoscopic, is a clinical reality, with fetoscopic approaches increasingly used for conditions like twin-to-twin transfusion syndrome. While safe, preterm delivery remains a challenge, and most procedures are still investigational.

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Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
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Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Published on: March 21, 2018

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
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Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Published on: December 22, 2023

Related Experiment Videos

Last Updated: Jul 5, 2026

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
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Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

Published on: October 25, 2015

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
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Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Published on: March 21, 2018

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
05:40

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Published on: December 22, 2023

Area of Science:

  • Perinatal medicine
  • Fetal surgery
  • Minimally invasive techniques

Background:

  • Fetal surgery has advanced significantly, offering new treatment options for congenital anomalies.
  • Both open and endoscopic surgical approaches are utilized, each with distinct indications.

Purpose of the Study:

  • To review the current clinical status and advances in fetal surgical interventions.
  • To analyze indications, technical aspects, and outcomes of endoscopic and open fetal surgery.

Main Methods:

  • Systematic review of current clinical status and advances in fetal surgery.
  • Analysis of indications, technical aspects, and outcomes for open and endoscopic fetal interventions.

Main Results:

  • A shift towards fetoscopic surgery is observed, though indications differ from open procedures.
  • Complications of monochorionic twinning, congenital diaphragmatic hernia, and myelomeningocele are leading indications.
  • Fetoscopic laser surgery for twin-to-twin transfusion syndrome has Level I evidence as preferred therapy.
  • Rupture of membranes and preterm delivery persist as complications, despite maternal safety.

Conclusions:

  • Fetal surgery is a safe clinical reality, with distinct roles for open and endoscopic interventions.
  • While technical experimentation is largely over, many procedures remain investigational.
  • Patient participation in trials is encouraged over accumulating isolated case experience.