Spina bifida surgery: Difference between revisions
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Created page with "__NOTOC__ {{Spina bifida}} {{CMG}}; {{AE}} {{MMJ}} ==Overview== ==Indications== *Surgical intervention is not recommended for the management of [disease name]. OR *Surgery i..." |
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==Overview== | ==Overview== | ||
==Indications== | ==Indications== | ||
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==Surgery== | ==Surgery== | ||
*The management of open spina bifida is surgery within 48 h of birth. | |||
*The | *The defect in the spine is closed to minimize the risk of ascending infection that can result in meningitis. | ||
*Prenatal surgery is the preferred treatment for spina bifida and it usually is done before the 26th week of [[pregnancy]] and it may prevent continuing damage and improve clinical outcome. <ref name="pmid2293328">{{cite journal |vauthors=Ciovîrnache M, Simionescu L, Ioaniţiu D |title=[A study of palmar flexion folds by the Perera-Kolski quantitative method in acromegaly] |language=French |journal=Endocrinologie |volume=28 |issue=2 |pages=57–62 |date=1990 |pmid=2293328 |doi= |url=}}</ref><ref name="pmid3963040">{{cite journal |vauthors=Tilles DS, Goldenheim PD, Johnson DC, Mendelson JH, Mello NK, Hales CA |title=Marijuana smoking as cause of reduction in single-breath carbon monoxide diffusing capacity |journal=Am. J. Med. |volume=80 |issue=4 |pages=601–6 |date=April 1986 |pmid=3963040 |doi= |url=}}</ref><ref name="pmid4898641">{{cite journal |vauthors=Bannur BB, Purandare GM |title=Microbial production of L-lysine |journal=Hindustan Antibiot Bull |volume=11 |issue=3 |pages=191–205 |date=February 1969 |pmid=4898641 |doi= |url=}}</ref> | |||
*Surgery is the | *Intrauterine repair of spina bifida confers multiple advantages to [[infants]], including:<ref name="pmid3963040">{{cite journal |vauthors=Tilles DS, Goldenheim PD, Johnson DC, Mendelson JH, Mello NK, Hales CA |title=Marijuana smoking as cause of reduction in single-breath carbon monoxide diffusing capacity |journal=Am. J. Med. |volume=80 |issue=4 |pages=601–6 |date=April 1986 |pmid=3963040 |doi= |url=}}</ref><ref name="pmid4898641">{{cite journal |vauthors=Bannur BB, Purandare GM |title=Microbial production of L-lysine |journal=Hindustan Antibiot Bull |volume=11 |issue=3 |pages=191–205 |date=February 1969 |pmid=4898641 |doi= |url=}}</ref> | ||
**Lower rates of [[shunt]] dependency | |||
**Lower rates of [[hindbrain]] [[herniation]] | |||
**Better motor and disability functional outcomes | |||
*Surgery after birth is done in patients who did not underwent prenatal surgery but the prognosis is worse and there are more possible complications after [[surgery]] in comparison with the prenatal [[surgery]]. <ref name="pmid4898641">{{cite journal |vauthors=Bannur BB, Purandare GM |title=Microbial production of L-lysine |journal=Hindustan Antibiot Bull |volume=11 |issue=3 |pages=191–205 |date=February 1969 |pmid=4898641 |doi= |url=}}</ref> | |||
==Contraindications== | ==Contraindications== | ||
Revision as of 18:54, 5 February 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
Indications
- Surgical intervention is not recommended for the management of [disease name].
OR
- Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]
- The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]
Surgery
- The management of open spina bifida is surgery within 48 h of birth.
- The defect in the spine is closed to minimize the risk of ascending infection that can result in meningitis.
- Prenatal surgery is the preferred treatment for spina bifida and it usually is done before the 26th week of pregnancy and it may prevent continuing damage and improve clinical outcome. [1][2][3]
- Intrauterine repair of spina bifida confers multiple advantages to infants, including:[2][3]
- Lower rates of shunt dependency
- Lower rates of hindbrain herniation
- Better motor and disability functional outcomes
- Surgery after birth is done in patients who did not underwent prenatal surgery but the prognosis is worse and there are more possible complications after surgery in comparison with the prenatal surgery. [3]
Contraindications
References
- ↑ Ciovîrnache M, Simionescu L, Ioaniţiu D (1990). "[A study of palmar flexion folds by the Perera-Kolski quantitative method in acromegaly]". Endocrinologie (in French). 28 (2): 57–62. PMID 2293328.
- ↑ 2.0 2.1 Tilles DS, Goldenheim PD, Johnson DC, Mendelson JH, Mello NK, Hales CA (April 1986). "Marijuana smoking as cause of reduction in single-breath carbon monoxide diffusing capacity". Am. J. Med. 80 (4): 601–6. PMID 3963040.
- ↑ 3.0 3.1 3.2 Bannur BB, Purandare GM (February 1969). "Microbial production of L-lysine". Hindustan Antibiot Bull. 11 (3): 191–205. PMID 4898641.