학술논문

Endoscopic release of limb constriction rings in utero.
Document Type
Journal Article
Source
Fetal Diagnosis & Therapy. 2006, Vol. 21 Issue 3, p255-258. 4p.
Subject
*FETAL surgery
*ENDOSCOPY
*OBSTETRICS surgery
*DIAGNOSIS
*CLINICAL medicine
*MEDICAL care
Language
ISSN
1015-3837
Abstract
Amniotic band syndrome is a sporadic condition that may result in constriction bands, amputation and multiple craniofacial, visceral and body wall defects. It occurs in 1/1,200 to 1/15,000 live births. Most cases present with multiple congenital anomalies that are incompatible with life. A small group of fetuses shows isolated limb constrictions that may cause severe limb dysfunction or limb amputation if left untreated. Successful in utero surgical lyses of constriction rings have been reported. We report a case of constriction amniotic bands involving both legs and compromising blood flow to the distal extremity. The constriction ring was successfully released by a minimally invasive endoscopic surgical technique avoiding severe limb dysfunction or foot amputation. [ABSTRACT FROM AUTHOR]