Preparation for endoscopic fetoscopy will depend on the extent of the procedure, and whether it is performed transcervically or transabdominally. Obtaining a small fetal tissue sample is a smaller procedure by comparison to fetal surgery.
There are two different types of fetoscopy: external and endoscopic.
Endoscopic fetoscopy requires a high level of skill and experience by fetal surgeons and is performed in a hospital setting.
External fetoscopy does not require aftercare. The care following fetal endoscopic use will depend on the extent of the procedure and the type of anesthesia used.
Endoscopic fetoscopy has the potential for causing infection in the fetus and/or mother; premature rupture of the amniotic membranes; premature labor; and fetal death.
There is no morbidity or mortality associated with external fetoscopy. In the case of endoscopic fetoscopy, the risk of fetal loss is estimated to be between 3% and 5%.
Congenital diaphragmatic hernia (CDH).
The only potential complication with external fetoscopy is the possibility of missing an abnormal heart rate or rhythm.
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As laparoscopic and microsurgical techniques have become more common and the instrumentation has become more advanced technologically, fetoscopy has improved for fetal diagnostic and therapeutic purposes.
Planning, preparation and procedure.
Endoscopic refers to the use of an endoscope
Endoscopic sphincterotomy