Overview
The Pediatric Fetal and Neonatal Surgery Center at Baylor College of Medicine is located at Texas Children's Hospital. The Fetal and Neonatal Surgery Center provides state of the art evaluation and management of congenital anomalies and structural birth defects. Our advanced imaging modalities allow the diagnosis of complex anomalies early during pregnancy.
The fetal and neonatal surgery center provides an integrated, multidisciplinary evaluation of the pregnant mother and the fetus with an anatomic anomaly or genetic defect. In concert with our colleagues in neonatology, obstetrics, diagnostic imaging, genetics and cardiology, a comprehensive evaluation of the fetus is performed including ultrafast fetal MRI and fetal echocardiography. An accurate diagnosis allows for detailed prenatal counseling and formulation of an effective management plan that may affect the timing, mode and location of delivery.
Management modalities range from postnatal correction of anatomic anomalies to invasive fetal therapy and open fetal surgery for rare, complex life-threatening conditions. The surgeon provides continuity of care from the prenatal evaluation, to the postnatal surgical management and long-term follow-up.
Open fetal surgery to remove abnormal masses or patch an opening
Open fetal surgery involves cutting into the mother's abdomen and uterus in order to operate on the fetus. In his article on open fetal surgery, Adzick describes the multidisciplinary team and sophisticated imaging technologies used to assess patients referred to the center, the only such facility that includes a Special Delivery Unit for mothers carrying babies with known birth defects.
Adzick describes fetal surgeries for two life-threatening defects: lung masses, which may compress the developing heart, leading to heart failure, and sacrococcygeal teratomas, large tumors attached to the fetus's tailbone, which can lead to heart failure or a fatal hemorrhage before birth. Fetal surgery, he adds, places special demands on caregivers to ensure safety for two patients—the mother and the fetus.
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