The current status of fetal surgery

摘要: Following the diagnosis of some major abnormalities, patients are faced with difficult choices termination pregnancy, postnatal therapy or in-utero surgery. Surgical intervention in utero should be considered only if natural history abnormality is frequently associated fetal neonatal death severe handicap, there evidence that progression can alleviated by procedure and maternal risks minimal. Fetal offered centres appropriate ultrasound surgical expertise, where ongoing research being done a multidisciplinary team approach available. Ultrasound plays role surgery, because although insertion needles shunts always ultrasound-guided, operator using open endoscopic techniques safely instrument uterus orientate equipment accurately under guidance.