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Fetal surgeon shows for first time that laser procedure may treat vasa previa
Date:12/18/2007

otected vessels were ablated in utero. Laser treatment might eliminate prolonged hospitalization and the obligatory C-section, and allow the pregnancy to progress to term with a vaginal delivery, he said.

The patient described in Dr. Quinteros paper was counseled about management alternatives and elected to undergo laser surgery to seal the abnormal fetal vessels. The procedure was performed at Tampa General Hospital at about 23 weeks of pregnancy without complications, Dr. Quintero reported. However, the patient subsequently required a cesarean delivery at 27 weeks for ruptured membranes, which may have been prompted by the breech position of the fetus. After a stay in the neonatal intensive care unit, the infant was discharged and is thriving today at 9 months old.

This case is a first step requiring more study to determine the effectiveness of the procedure and its risks, Dr. Quintero said. But it demonstrates that, if an accurate diagnosis is made, something proactive may be done to treat vasa previa.

It may provide physicians with justification and greater impetus to look for the prenatal diagnosis early, and hopefully save more babies.


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Contact: Anne DeLotto Baier
abaier@health.usf.edu
813-974-3300
University of South Florida Health
Source:Eurekalert

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