Prophylactic use of the Arabin cervical pessary in fetuses with severe congenital diaphragmatic hernia treated by fetoscopic endoluminal tracheal occlusion (FETO): preliminary experience

التفاصيل البيبلوغرافية
العنوان: Prophylactic use of the Arabin cervical pessary in fetuses with severe congenital diaphragmatic hernia treated by fetoscopic endoluminal tracheal occlusion (FETO): preliminary experience
المؤلفون: Oana, Dobrescu, Mieke M, Cannie, Anne-Gael, Cordier, Carlota, Rodó, Isabella, Fabietti, Alexandra, Benachi, Elena, Carreras, Nicola, Persico, Ivan, Hurtado, Léonardo, Gucciardo, Jacques C, Jani
المصدر: Prenatal diagnosis. 36(1)
سنة النشر: 2015
مصطلحات موضوعية: Adult, Adolescent, Fetoscopy, Pessaries, Severity of Illness Index, Trachea, Young Adult, Treatment Outcome, Pregnancy, Humans, Premature Birth, Female, Prospective Studies, Hernias, Diaphragmatic, Congenital, Follow-Up Studies, Retrospective Studies
الوصف: The aim of this study was to describe whether the prophylactic use of a cervical pessary decreases the rate of premature birth in congenital diaphragmatic hernia (CDH) fetuses treated with fetoscopic tracheal occlusion (FETO).The study concerns a consecutive series of cases with CDH and FETO and a group of CDH without FETO. In a subgroup of the FETO group, a prophylactic cervical pessary was inserted the day following the procedure. Gestational age (GA) at birth was the primary outcome.Fifty-nine fetuses with FETO and 47 expectantly managed were included. The last 15 FETO had a cervical pessary inserted. The median GA at delivery in the FETO group with pessary was 35.1 weeks and was not different from that in the FETO group without a pessary (34.3 weeks; p = 0.28) but was below that in the expectantly managed group (38.3 weeks; p 0.001).Early results suggest that prophylactic use of an Arabin cervical pessary does not prolong gestation of CDH fetuses treated with FETO. © 2015 John WileySons, Ltd.
تدمد: 1097-0223
URL الوصول: https://explore.openaire.eu/search/publication?articleId=pmid________::b544da6c2c0d3d801887308708937035
https://pubmed.ncbi.nlm.nih.gov/26518248
رقم الأكسشن: edsair.pmid..........b544da6c2c0d3d801887308708937035
قاعدة البيانات: OpenAIRE