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Case ReportCase Reports

Fetal Surgery: The Ochsner Experience with In Utero Spina Bifida Repair

Lora Kahn, Nnenna Mbabuike, Edison P. Valle-Giler, Juanita Garces, R. Clifton Moore, Hugo St. Hilaire and Cuong J. Bui
Ochsner Journal March 2014, 14 (1) 112-118;
Lora Kahn
Department of Neurosurgery, Ochsner Clinic Foundation, New Orleans, LA
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Nnenna Mbabuike
Department of Neurosurgery, Ochsner Clinic Foundation, New Orleans, LA
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Edison P. Valle-Giler
Department of Neurosurgery, Ochsner Clinic Foundation, New Orleans, LA
Department of Neurosurgery, Tulane Medical Center, New Orleans, LA
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Juanita Garces
Department of Neurosurgery, Ochsner Clinic Foundation, New Orleans, LA
Department of Neurosurgery, Tulane Medical Center, New Orleans, LA
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R. Clifton Moore
Department of Maternal Fetal Medicine, Ochsner Clinic Foundation, New Orleans, LA
The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA
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Hugo St. Hilaire
Department of Plastic and Reconstructive Surgery, Children's Hospital, New Orleans, LA, and Department of Plastic and Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, LA
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Cuong J. Bui
Department of Neurosurgery, Ochsner Clinic Foundation, New Orleans, LA
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Article Figures & Data

Figures

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    Figure 1.

    In utero ultrasound (A) and magnetic resonance imaging (B) demonstrate open neural tube defect and (C) marked ventriculomegaly.

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    Figure 2.

    Photographs from the operating room demonstrating (A) exposure of the myelomeningocele through the hysterotomy, (B) placement of Seprafilm during closure of the myelomeningocele, (C) the repaired myelomeningocele defect, and (D) the hysterotomy repair.

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    Figure 3.

    Echoencephalography demonstrating the lateral ventricle on day 1 of life.

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    Figure 4.

    Echoencephalography demonstrating stability of the lateral ventricle at 4 months of life.

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Ochsner Journal
Vol. 14, Issue 1
Mar 2014
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Fetal Surgery: The Ochsner Experience with In Utero Spina Bifida Repair
Lora Kahn, Nnenna Mbabuike, Edison P. Valle-Giler, Juanita Garces, R. Clifton Moore, Hugo St. Hilaire, Cuong J. Bui
Ochsner Journal Mar 2014, 14 (1) 112-118;

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Fetal Surgery: The Ochsner Experience with In Utero Spina Bifida Repair
Lora Kahn, Nnenna Mbabuike, Edison P. Valle-Giler, Juanita Garces, R. Clifton Moore, Hugo St. Hilaire, Cuong J. Bui
Ochsner Journal Mar 2014, 14 (1) 112-118;
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  • Article
    • Abstract
    • INTRODUCTION
    • ESTABLISHMENT OF INTRAUTERINE MYELOMENINGOCELE REPAIR
    • THE OCHSNER EXPERIENCE
    • DISCUSSION
    • CONCLUSION
    • Footnotes
    • REFERENCES
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  • References
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Keywords

  • Arnold-Chiari malformation
  • fetal therapies
  • hydrocephalus
  • hysterotomy
  • meningomyelocele
  • spinal dysraphism
  • ventriculoperitoneal shunt

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