Work

Open fetal myeloschisis closure: pearls for uterine exposure and closure

Year: 2026

Type: article

Abstract: Fetal closure of an open neural tube defect offers the potential to limit progressive neurological injury and improve long-term outcomes. Myeloschisis presents unique challenges due to the technical complexity of mobilizing the skin and achieving adequate soft tissue coverage, particularly in the sacral region. In this video, the authors demonstrate an open fetal myeloschisis closure in a fetus with an S1-level defect and associated grade 3 hindbrain herniation. The preoperative counseling process, surgical technique, and perioperative course are highlighted, with a focus on pearls for the exposure and closure of the uterus. The video can be found here: https://stream.cadmore.media/r10.3171/2026.1.FOCVID25231.

Source: Neurosurgical Focus Video

DOI: 10.3171/2026.1.focvid25231

Authors: David S. Hersh, Andrew J. Healy, Timothy M. Crombleholme

Institutions: University of Connecticut, Connecticut Children's Medical Center, UConn Health

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: W7148137642

FWCI:

Cites:

Cited by:

Related to: