Fetoscopic myelomeningocoele closure: Is the scientific evidence enough to challenge the gold standard for prenatal surgery?

Since the completion of the Management of Myelomeningocoele Study, maternal‐fetal surgery for spina bifida has become a valid option for expecting parents. More recently, multiple groups are exploring a minimally invasive approach and recent outcomes have addressed many of the initial concerns with...

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Detalles Bibliográficos
Autores principales: Verweij, E. Joanne, de Vries, Martine C., Oldekamp, Esther J., Eggink, Alex J., Oepkes, Dick, Slaghekke, Femke, Spoor, Jochem K. H., Deprest, Jan A., Miller, Jena L., Baschat, Ahmet A., DeKoninck, Philip L. J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8360048/
https://www.ncbi.nlm.nih.gov/pubmed/33778976
http://dx.doi.org/10.1002/pd.5940
Descripción
Sumario:Since the completion of the Management of Myelomeningocoele Study, maternal‐fetal surgery for spina bifida has become a valid option for expecting parents. More recently, multiple groups are exploring a minimally invasive approach and recent outcomes have addressed many of the initial concerns with this approach. Based on a previously published framework, we attempt to delineate the developmental stage of the surgical techniques. Furthermore, we discuss the barriers of performing randomized controlled trials comparing two surgical interventions and suggest that data collection through registries is an alternative method to gather high‐grade evidence.