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Minilaparotomy-assisted approach for fetoscopic myelomeningocele closure

Year: 2026

Type: article

Abstract: Fetal closure has demonstrated a reduction in need for ventricular shunting, reversal of hindbrain herniation, and improved mobility compared to postnatal closure. Open fetal closure can benefit the fetus, but also places the mother at risk of obstetrical complications. Fetoscopic repair allows for prenatal closure of the myelomeningocele defect, while avoiding the open hysterotomy and providing the option for vaginal delivery in some cases. There are multiple techniques for performing fetoscopic repair; each has its benefits and detriments. Here a technique is presented for a minilaparotomy-assisted approach for fetoscopic myelomeningocele closure. The video can be found here: https://stream.cadmore.media/r10.3171/2026.1.FOCVID25234.

Source: Neurosurgical Focus Video

DOI: 10.3171/2026.1.focvid25234

Authors: Katherine Holste, Scott Shainker, Farokh Demehri, Eyal Krispin, Alireza Shamshirsaz, Weston Northam

Institution: Boston Children's Hospital

Language: English

Topic: Spinal Dysraphism and Malformations

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7147397109

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