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Intra uterine fetal surgery

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Intra Uterine Fetal Surgery Dr.Sameer Dikshit
Dr.Sameer Dikshit ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address] ,[object Object],[object Object],[object Object],[object Object],[object Object]
The allure of Fetal Surgery is the possibility of interrupting the in utero progression of an otherwise treatable condition AICOG 2011 [email_address]
Fetal Surgery is…….. ,[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Father of Fetal Surgery ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Types of Fetal Surgery ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
FIGS (Fetal Image Guided Surgery) ,[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Examples ,[object Object],[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
AICOG 2011 [email_address]
FETENDO (Fetal Endoscopic Surgery) ,[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Examples ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Open Surgery ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Examples ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
EXIT (Ex-utero Intrapartum treatment procedure) ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
AICOG 2011 [email_address]
AICOG 2011 [email_address]
Examples ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Challenges before the field of fetal surgery….. ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Ethical Dilemma ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Maternal Risks ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Fetal Risks ,[object Object],[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Fetal response to maternal anaesthesia ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Fetal Monitoring during surgery ,[object Object],[object Object],AICOG 2011 [email_address]
Post op care ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],AICOG 2011 [email_address]
Protocol for open Fetal Surgery ,[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Dr.Michael Harrison ,[object Object],[object Object],AICOG 2011 [email_address]
Uterine Stapler AICOG 2011 [email_address]
[object Object],[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
The fetus is monitored with ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Maternal Anaesthesia ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Fetal Pain…. ,[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Future possibilities ,[object Object],AICOG 2011 [email_address]
Inherited Genetic Diseases Treatable with Stem Cells AICOG 2011 [email_address]
Inherited Genetic Diseases Treatable with Stem Cells ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]  
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
The key in fetal surgery is not when to operate, but to know when NOT to operate!!! AICOG 2011 [email_address]
Sacrococcygeal Teratoma (SCT) ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Cystic SCTs AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Solid SCT AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Congenital Diaphragmatic Hernia (CDH) ,[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
These fetuses need intra partum intervention for postpartum surgery to succeed ,[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Congenital Cystic Adenomatoid Malformation of the lungs (CCAM) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
CCAM Prenatal Steroid Trial ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Fetal Surgery is a roller coaster for the fetus…. AICOG 2011 [email_address]
Fetal Surgery is a roller coaster ride for the fetus ,[object Object],AICOG 2011 [email_address]
AICOG 2011 [email_address]
Thank you AICOG 2011 [email_address]

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