Surgical Therapy

  • R. L. Fischer
  • R. J. Wapner


Surgical procedures on the fetus are currently available in the second and third trimesters. Intrauterine fetal blood transfusions, as well as percutaneous drainage of effusions and decompression of cysts, are performed at most perinatal centers. Other procedures, such as correction of diaphragmatic hernias and placement of diversion catheters in hydrocephalus and obstructed urinary tracts are more experimental and are performed in only a few select centers. Although performance of such procedures during the first trimester has theoretical advantages, experience is nonexistent. The advent of embryoscopy, as reviewed in Chap. 22, may offer surgical access in the first trimester (e.g., umbilical blood sampling and gene therapy); however, embryoscopy is still in its infancy. Substantially improved ultrasonography may also spark attempts at first-trimester invasive fetal treatments, but at present this feasibility remains unknown.


Obstet Gynecol Twin Pregnancy Selective Reduction Intrauterine Device Multiple Gestation 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • R. L. Fischer
  • R. J. Wapner

There are no affiliations available

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