Open maternal-fetal repair for fetal myelomenigocele

Slides:

Advertisements

Similar presentations

Endometrial cancer. A, B: Long-axis images of a polypoid mass surrounded by a thin sliver of intraluminal fluid. This tumor occupied the entire uterine.

Advertisements

A: Chemical shift artifact (arrows) on T1-weighted gradient echo scan in right ovarian dermoid cyst. This finding is the white on black line that occurs.

Middle cerebral artery Dopplers to screen for fetal anemia

TV-CDS of early intrauterine pregnancy

TV-CDS of early intrauterine pregnancy

This is a dual view of a fetal spine

Normal 5-week intrauterine pregnancy (IUP)

3D and 4D ultrasound volume ultrasound can obtain image planes and provide depth far beyond the capability of 2D ultrasound. Source: VOLUME SONOGRAPHY:

Workflow diagram depicting the main steps in scanning with 2D and 3D/4D ultrasound. The scan is always started in 2D and the area of interest is mapped.

This is a composite image of various 3D/4D ultrasound instruments

Laparoscopic inguinal hernia repair (A→D). (Used with permission of Dr

Complex, predominantly cystic masses

Complex, predominantly cystic masses

Wong-Baker FACES pain scale (Wong-Baker FACES Foundation (2015)

Uterine artery ligation

The myometrium is incised carefully to avoid cutting the fetal head

Recording of fetal heart rate and uterine activity

Completely cystic masses

Miscellaneous conditions

This figure presents a dual view of a conventional 2D image and VCI-A volume contrast imaging in plane A) still TIFF image generated from a 4D video sequence.

TV-CDS of early intrauterine pregnancy

Solid masses. A: Transverse sonogram showing enlarged right ovary (between +'s) with echogenic areas consistent with hemorrhage due to ovarian rupture.

Solid masses. A: Transverse sonogram showing enlarged right ovary (between +'s) with echogenic areas consistent with hemorrhage due to ovarian rupture.

Complex predominantly solid masses

Life cycle of parasitic nematodes, including Ascaris lumbricoides

TV-CDS of early intrauterine pregnancy

Color/power Doppler (HD-flow™, GE Healthcare, Milwaukee, WI, USA) in other renal abnormalities. A, A': In a case of horseshoe kidney, color Doppler sonography.

(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)

Amplitude versus frequency transvaginal color Doppler sonography (TV-CDS). A: Frequency-based TV-CDS shows solid mass within the left ovary without significant.

Tubal obstruction (extrinsic)

(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)

Vein of Galen aneurysmal malformation at 28 postmenstrual weeks

This is a composite image of 2 different cases of 3D sonohysterography

Other adnexal masses and conditions

Complicated early pregnancy. A: TVS of an embryonic demise

A standard epidural order form.

Fibroids. A: Transabdominal sonogram (TAS) of large uterine fibroid (arrow) extending from uterine fundus. B: Transverse TAS of degenerated fibroid (arrow)

Necrotic hysterotomy infection

Major scanning planes for transabdominal sonography (TAS) and transvaginal sonography (TVS). A: Normal adult, parous uterus in long and short axis as depicted.

Fetoscopic laser ablation of vasa previa

(Reproduced, with permission, from Emiliano Chavira, MD.)

Sonographic images of retained products of conception shown on longitudinal (A) and transverse (B) views as echogenic material in the lower uterine segment.

Fixed flexion deformity of the hips

Sonographic images of monochorionic twins

Normal 5-week intrauterine pregnancy (IUP)

Graphic illustration of different volume ultrasound probes, volume acquisitions, and beam characteristics. A: Free-hand acquisition where the probe is.

Twins commonly experience decreased growth after 26 to 28 weeks and, as in this set, the effect may be more pronounced on the smaller of the twins. At.

Sonohysterography (SHG) in infertility

Moderate to severe urinary tract dilation

Sonohysterography (SHG) in infertility

Anatomy scan at 11 postmenstrual weeks, 4 days at the time of the first trimester screening. (A) The nuchal translucency measures 8 mm. (B), (C) 3D "thick.

Sirenomelia in a fetus at 12 postmenstrual weeks

Normal 6- to 7-week IUP. A: Magnified TV sonogram of 3-mm embryo/yolk sac (arrow). Compare to Figure 3-1H. B: TV sonogram of 6-week IUP with 6-mm embryo.

Normal 6- to 7-week IUP. A: Magnified TV sonogram of 3-mm embryo/yolk sac (arrow). Compare to Figure 3-1H. B: TV sonogram of 6-week IUP with 6-mm embryo.

Twelve representative volumes arranged by gestational age

Multifetal pregnancy. A: TAS of normal 7-week diamniotic, dichorionic twin IUP. B: TVS of demised embryo (+'s) adjacent to living twin at 7 weeks. C: TAS.

Fibroids. A: Transabdominal sonogram (TAS) of large uterine fibroid (arrow) extending from uterine fundus. B: Transverse TAS of degenerated fibroid (arrow)

Septate ovarian cyst. A: Traditional 2D image of a septate ovarian cyst. B: Surface rendering of the inside of the cyst showing a smooth wall and a single,

Septate ovarian cyst. A: Traditional 2D image of a septate ovarian cyst. B: Surface rendering of the inside of the cyst showing a smooth wall and a single,

Small bowel obstruction

Renal dysplasia secondary to posterior urethral valves

Combat application tourniquet (CAT), by Composite Resources

Number of uninsured persons in the United States, 1980 to 2014 (U. S

Solid masses. A: Transverse sonogram showing enlarged right ovary (between +'s) with echogenic areas consistent with hemorrhage due to ovarian rupture.

Fetal endoscopic tracheal occlusion (FETO) for severe congenital diaphragmatic hernia. (Used with permission from Dr. Rodrigo Ruano, Texas Children’s Hospital,

Ectopic pregnancy: uterine sonographic findings

This is a first trimester scan in a fetus with monosomy X

Life cycle of parasitic nematodes, including Ascaris lumbricoides

Copyright © The McGraw-Hill Companies, Inc

Copyright © The McGraw-Hill Companies, Inc

Presentation transcript:

Open maternal-fetal repair for fetal myelomenigocele Open maternal-fetal repair for fetal myelomenigocele. A: Stapled uterine incision and exposure of the fetal myelomeningocele. B: Repairing the fetal myelomeningocele. (Used with permission from Dr. Rodrigo Ruano, Texas Children’s Hospital, Houston, Texas.) Source: Fetal Anomalies: Overview, Fleischer's Sonography in Obstetrics and Gynecology: Textbook and Teaching Cases, 8e Citation: Fleischer AC, Abramowicz JS, Gonçalves LF, Manning FA, Monteagudo A, Timor IE, Toy EC. Fleischer's Sonography in Obstetrics and Gynecology: Textbook and Teaching Cases, 8e; 2017 Available at: http://obgyn.mhmedical.com/DownloadImage.aspx?image=/data/books/2231/fleischer8_ch17_f022a-1a.png&sec=172932721&BookID=2231&ChapterSecID=172932589&imagename= Accessed: January 13, 2018 Copyright © 2018 McGraw-Hill Education. All rights reserved