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Antenatally Diagnosed Surgical Conditions: Fetus As Our Patient
Kashish Khanna1, Anjan Kumar Dhua1, Veereshwar Bhatnagar2
1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.
Insights
Early diagnosis of fetal surgical abnormalities is possible with advanced antenatal screening. Understanding these conditions, their management, and outcomes is crucial for effective patient care and parental counseling.
Area of Science:
- Pediatric Surgery
- Fetal Medicine
- Prenatal Diagnosis
Background:
- Modern antenatal care offers advanced screening for fetal abnormalities.
- Early diagnosis of surgical fetal defects is now routine.
- Knowledge of incidence, detection, and management is essential.
Purpose of the Study:
- To review fetal anomalies treatable via fetal intervention.
- To discuss conditions managed postnatally.
- To provide essential knowledge for patient care and counseling.
Main Methods:
- Review of current antenatal screening modalities (ultrasound, MRI, echocardiography, serology, blood sampling).
- Discussion of common surgical fetal conditions.
- Focus on pediatric surgical perspective.
Main Results:
- Early diagnosis of surgical fetal anomalies is feasible.
- Various fetal anomalies can be identified prenatally.
- Both fetal intervention and postnatal treatment options exist.
Conclusions:
- Comprehensive knowledge of fetal surgical conditions improves patient management.
- Effective counseling of expectant parents is facilitated by this knowledge.
- This review highlights treatable fetal anomalies from a pediatric surgical standpoint.
Abstract:
In today's era of improved antenatal care and screening modalities (3D high-resolution fetal ultrasound, fetal magnetic resonance imaging, fetal echocardiography, maternal serum markers and fetal blood sampling), an early diagnosis of surgical fetal abnormalities is routinely possible. A thorough knowledge about the incidence of such defects, the means of detection and evaluation, the scope of fetal intervention, postnatal management and long-term outcomes of common surgical conditions diagnosed antenatally is essential. This knowledge would not only help in proper patient care and management but also to ensure appropriate counselling of the expectant parents. This article highlights the fetal anomalies which are amenable to some form of fetal intervention from a pediatric surgical perspective as also those which can be treated after birth.
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