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Advances in Fetal Surgery: Current and Future Relevance in Plastic Surgery
Alejandro Gimenez1, Rachel Kopkin2,3, Daniel K Chang1
1Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Seminars in Plastic Surgery
|August 7, 2019
Summary
Scarless healing is a goal in plastic surgery. Advances in minimally invasive fetal surgery offer potential future applications for plastic surgeons, despite current limited roles.
Area of Science:
- Regenerative Medicine
- Developmental Biology
- Plastic Surgery
Background:
- Scarless healing remains a significant challenge in plastic surgery.
- Historically, fetal surgery for congenital abnormalities was high-risk and impractical.
- Recent advancements have improved fetal intervention safety and scope.
Purpose of the Study:
- To review the historical context of fetal surgery.
- To highlight recent advancements in minimally invasive fetoscopic surgery.
- To explore potential future relevance of fetal surgery to plastic surgery.
Main Methods:
- Literature review of historical and current fetal surgery techniques.
- Analysis of safety and efficacy data for fetoscopic procedures.
- Discussion of emerging applications and their implications for plastic surgery.
Main Results:
- Fetal surgery has evolved from high-risk open procedures to safer minimally invasive fetoscopic techniques.
- Expanding applications of fetal surgery are emerging due to improved safety profiles.
- The plastic surgeon's direct role is currently limited but may grow.
Conclusions:
- Minimally invasive fetal surgery represents a significant advancement with expanding applications.
- Future plastic surgery may benefit from the techniques and understanding gained from fetal interventions.
- Continued research is needed to define the future role of plastic surgeons in fetal anomaly correction.
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