A PEER-REVIEWED JOURNAL OF RESEARCH AND CLINICAL MEDICINEISSN 1727-2378 (Print)         ISSN 2713-2994 (Online)
Ru
En

Fetal Medicine: Literature Review and the Experience of V.I. Kulakov National Medical Scientific Centre of Obstetrics, Gynaecology and Perinatal Medicine

DOI:10.31550/1727-2378-2019-166-11-35-43
For citation: Kostyukov K.V., Gladkova K.A., Sakalo V.A., Shmakov R.G., Tetruashvili N.K., Gus A.I. Fetal Medicine: Literature Review and the Experience of V.I. Kulakov National Medical Scientific Centre of Obstetrics, Gynaecology and Perinatal Medicine. Doctor.Ru. 2019; 11(166): 35–43. DOI: 10.31550/1727-2378-2019-166-11-35-43

Objective of the Review: to present data from literature and own results of intrauterine correction of complications from monochorionic multifetation and of use of foetal surgery at some foetal congenital anomalies.
Key Points: the review includes the data from foreign and Russian articles, recommendations and study protocols presented in Pubmed over the last 20 years. Management of some pregnancy pathologies such as complications from monochorionic multifetation are a routine practice for foetal surgeons. At the same time intrauterine correction of complications is quite rare, more common is palliative care preventing irreversible damages.
Conclusion: the technical experiments stage is over; and a majority of interventions are currently used in practice. Foetus surgery is the reality, but it needs further development, modern studies, continued research of efficiency and safety of interventions.

K.V. Kostyukov — V.I. Kulakov National Medical Scientific Centre of Obstetrics, Gynaecology and Perinatal Medicine of the Ministry of Health of Russia; 4 Academician Oparin St., Moscow, Russian Federation 117997. eLIBRARY.RU SPIN: 5888-7070. E-mail: kostyukov_k@yahoo.com

K.A. Gladkova — V.I. Kulakov National Medical Scientific Centre of Obstetrics, Gynaecology and Perinatal Medicine of the Ministry of Health of Russia; 4 Academician Oparin St., Moscow, Russian Federation 117997. eLIBRARY.RU SPIN: 7042-2711. E-mail: k_gladkova@oparina4.ru

V.A. Sakalo — V.I. Kulakov National Medical Scientific Centre of Obstetrics, Gynaecology and Perinatal Medicine of the Ministry of Health of Russia; 4 Academician Oparin St., Moscow, Russian Federation 117997. E-mail: v_sakalo@oparina4.ru

R.G. Shmakov — V.I. Kulakov National Medical Scientific Centre of Obstetrics, Gynaecology and Perinatal Medicine of the Ministry of Health of Russia; 4 Academician Oparin St., Moscow, Russian Federation 117997. E-mail: r_shmakov@oparina4.ru

N.K. Tetruashvili — V.I. Kulakov National Medical Scientific Centre of Obstetrics, Gynaecology and Perinatal Medicine of the Ministry of Health of Russia; 4 Academician Oparin St., Moscow, Russian Federation 117997. eLIBRARY.RU SPIN: 3803-7764. E-mail: tetrauly@mail.ru

A.I. Gus — V.I. Kulakov National Medical Scientific Centre of Obstetrics, Gynaecology and Perinatal Medicine of the Ministry of Health of Russia; 4 Academician Oparin St., Moscow, Russian Federation 117997. eLIBRARY.RU SPIN: 1464-2786. E-mail: aleksandr_gus@mail.ru


Contribution: Kostyukov K.V., Sakalo V.A., Gladkova K.A. — study design, collection of information for analysis, thematic publications reviewing, statistical data analysis; Shmakov R.G., Tetruashvili N.K., Gus A.I. — manuscript correction.

The authors declare that they do not have any conflict of interests.

Доктор.ру
LITERATURE
  1. Liley A.W. Intrauterine transfusion of foetus in haemolytic disease. BMJ. 1963; 2(5365): 1107–9. DOI: 10.1136/bmj.2.5365.1107
  2. Бокерия Е.Л. Фетальные и неонатальные аритмии (клиника, диагностика, лечение): Автореф. дис. … докт. мед. наук. М.; 2012. 48 с. [Bokeriya E.L. Fetal'nye i neonatal'nye aritmii (klinika, diagnostika, lechenie): Avtoref. dis. … dokt. med. nauk. M.; 2012. 48 s. (in Russian)]
  3. Lewi L., Jani J., Deprest J. Invasive interventions in complicated multiple pregnancies. Clin. Obstet. Gyn. N. Am. 2005; 32(1): 105–26. DOI: 10.1016/j.ogc.2004.10.008
  4. Duncombe G.J., Dickinson J.E., Evans S.F. Perinatal characteristics and outcomes of pregnancies complicated by twin-twin transfusion syndrome. Obstet. Gynecol. 2003; 101(6): 1190–6. DOI: 10.1016/s0029-7844(03)00231-x
  5. Сакало В.А., Костюков К.В., Гладкова К.А., Гасанова Р.М., Тетруашвили Н.К., Бокерия Е.Л. Патология сердечно-сосудис­той системы плодов при фето-фетальном трансфузионном синдроме. Детские болезни сердца и сосудов. 2018; 15(3):137–44. [Sakalo V.A., Kostyukov K.V., Gladkova K.A., Gasanova R.M., Tetruashvili N.K., Bokeriya E.L. Patologiya serdechno-sosudistoi sistemy plodov pri feto-fetal'nom transfuzionnom sindrome. Detskie bolezni serdtsa i sosudov. 2018; 15(3): 137–44. (in Russian)]
  6. Quintero R.A., Morales W.J., Allen M.H., Bornick P.W., Johnson P.K., Kruger M. Staging of twin-twin transfusion syndrome. J. Perinatol. 1999; 19(8 Pt 1): 550–5.
  7. Senat M.V., Deprest J., Boulvain M., Paupe A., Winer N., Ville Y. Endoscopic laser surgery versus serial amnioreduction for severe twin-to-twin transfusion syndrome. N. Engl. J. Med. 2004; 351(2): 136–44. DOI: 10.1056/NEJMoa032597
  8. Костюков К.В., Гладкова К.А. Диагностика фето-фетального трансфузионного синдрома, синдрома анемии-полицитемии при монохориальной многоплодной беременности. Акушерство и гинекология. 2016; 1: 10–15. [Kostyukov K.V., Gladkova K.A. Diagnostika feto-fetal'nogo transfuzionnogo sindroma, sindroma anemii-politsitemii pri monokhorial'noi mnogoplodnoi beremennosti. Akusherstvo i ginekologiya. 2016; 1: 10–15. (in Russian)]
  9. Moore T.R., Gale S., Benirschke K. Perinatal outcome of forty-nine pregnancies complicated by acardiac twinning. Am. J. Obstet. Gynecol. 1990; 163(3): 907–12. DOI: 10.1016/0002-9378(90)91094-s
  10. Jelin E., Hirose S., Rand L., Curran P., Feldstein V., Guevara-Gallardo S. et al. Perinatal outcome of conservative management versus fetal intervention for twin reversed arterial perfusion sequence with a small acardiac twin. Fetal Diagn. Ther. 2010; 27(3): 138–41. DOI: 10.1159/000295176
  11. Костюков К.В., Гладкова К.А., Тетруашвили Н.К. Тактика ведения беременности при синдроме обратной артериальной перфузии. Акушерство и гинекология. 2018; 11: 44–9. [Kostyukov K.V., Gladkova K.A., Tetruashvili N.K. Taktika vedeniya beremennosti pri sindrome obratnoi arterial'noi perfuzii. Akusherstvo i ginekologiya. 2018; 11: 44–9. (in Russian)]
  12. Tsao K., Hawgood S., Vu L., Hirose S., Sydorak R., Albanese C.T. et al. Resolution of hydrops fetalis in congenital cystic adenomatoid malformation after prenatal steroid therapy. J. Pediatr. Surg. 2003; 38(3): 508–10. DOI: 10.1053/jpsu.2003.50089
  13. Peranteau W.H., Wilson R.D., Liechty K.W., Johnson M.P., Bebbington M.W., Hedrick H.L. et al. Effect of maternal beta­methasone administration on prenatal congenital cystic adenoma­toid malformation growth and fetal survival. Fetal Diagn. Ther. 2007; 22(5): 365–71. DOI: 10.1159/000103298
  14. Adzick N.S., Thom E.A., Spong C.Y., Brock J.W. 3rd, Burrows P.K., Johnson M.P. et al. A randomized trial of prenatal versus postnatal repair of myelomeningocele. N. Engl. J. Med. 2011; 364(11): 993–1004. DOI: 10.1056/NEJMoa1014379
  15. Paek B., Jennings R., Harrison M. Radiofrequency ablation of human fetal sacrococcygeal teratoma. Am. J. Obstet. Gynecol. 2001; 184(3): 503–7. DOI: 10.1067/mob.2001.110446
  16. Makin E., Hyett J., Ade-Ajayi N., Patel S., Nicolaides K., Davenport M. Outcome of antenatally diagnosed sacrococcygeal teratomas: single center experience (1993–2004). J. Pediatr. Surg. 2006; 41(2): 388–93. DOI: 10.1016/j.jpedsurg.2005.11.017
  17. OP06.20: Perrotin F., Herbreteau D., Machet M., Potin J., Lardy H., Arbeille P. In utero Doppler ultrasound-guided embolization for the treatment of a large vascular sacrococcygeal teratoma causing fetal hydrops. Ultrasound Obstet. Gynecol. 2006; 28(4): 458–9. DOI: 10.1002/uog.3198
  18. Dinneen M.D., Duffy P.G. Posterior urethral valves. Br. J. Urol. 1996; 78(2): 275–81. DOI: 10.1046/j.1464-410x.1996.10324.x
  19. Harrison M.R., Golbus M.S., Filly R.A., Callen P.W., Katz M., de Lorimier A.A. et al. Fetal surgery for congenital hydronephrosis. N. Engl. J. Med. 1982; 306(10): 591–3. DOI: 10.1056/NEJM198203113061006
  20. Clark T.J., Martin W.L., Divakaran T.G., Whittle M.J., Kilby M.D., Khan K.S. Prenatal bladder drainage in the management of fetal lower urinary tract obstruction: a systematic review and meta-analysis. Obstet. Gynecol 2003; 102(2): 367–82. DOI: 10.1016/s0029-7844(03)00577-5
  21. Ruano R., Duarte S., Bunduki V., Giron A.M., Srougi M., Zugaib M. Fetal cystoscopy for severe lower urinary tract obstruction-initial experience of a single center. Prenat. Diagn. 2010; 30(1): 30–9. DOI: 10.1002/pd.2418
  22. Biard J.M., Johnson M.P., Carr M.C., Wilson R.D., Hedrick H.L., Pavlock C. et al. Long-term outcomes in children treated by prenatal vesicoamniotic shunting for lower urinary tract obstruction. Obstet. Gynecol. 2005; 106(3): 503–8. DOI: 10.1097/01.AOG.0000171117.38929.eb
  23. Walter J.H., Gross L.R., Lazzara A.T. Amniotic band syndrome. J. Foot Ankle Surg. 1998; 37(4): 325–33.

News

30 June 00:00
A New Issue of Doctor.Ru Neurology Psychiatry, Vol. 20, No. 5 (2021), Published

Find original articles and reviews covering various aspects of neurology, psychiatry and the interview with Professor Marina Arkadievna Kinkulkina

28 June 00:00
A New Issue of Doctor.Ru Internal Medicine, Vol. 20, No. 4 (2021), Published

Find original articles and reviews covering various aspects of cardiology, gastroenterology, internal medicine and the interview with Professor Elena Zelikovna Golukhova

 

3 May 17:06
A New Issue of Doctor.Ru Pediatrics, Vol. 20, No. 3 (2021), Published

Find original articles and reviews covering various aspects of pediatrics and the interview with Professor Evgeny Grigorievich Furman

3 May 17:06
A New Issue of Doctor.Ru Endocrinology, Vol. 20, No. 2 (2021), Published

Find original articles and reviews covering various aspects of endocrinology and the interview with Professor Valentin Viktorovich Fadeev

16 April 11:57
Igor Evgenievich Khatkov joined the American Surgical Association

Igor Evgenievich Khatkov, Head of A. S. Loginov Moscow Clinical Scientific and Practical Centre, Chief Oncologist in and for Moscow is now an honoured member of the American Surgical Association.

All news