METHOD OF MINIMALLY INVASIVE INTRAUTERINE PLEURO-AMNIAL BYPASS GRAFTING FOR INTRAUTERINE CORRECTION OF HYDROTHORAX IN THE FETUS

摘要

FIELD: medicine.;SUBSTANCE: invention relates to the field of obstetrics and fetal surgery. Under ultrasound control and general anesthesia of the fetus, the introducer is introduced into the amniotic cavity, then into the pleural cavity of the fetus. After that, the obturator is removed. A conductor with a SDE-MED 3Fr stent, 49 mm long, is introduced into the introducer tube. The stent is squeezed out into the working area, the pigtail spiral is wrapped, which ensures its fixation in the pleural cavity. The introducer is removed. After surgical manipulation in the operating room, ultrasound monitoring of the fetal heartbeat and blood flow in the umbilical artery is performed. The next day after the operation, a repeated ultrasound examination is performed, the condition of the fetus, the position of the stent, and the amount of pleural effusion are assessed. ;EFFECT: method allows preserving the possibility of fetal lung development, prevents lung hypoplasia, reduces lung compression, increases the chance of newborn survival.;1 cl, 1ex