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Fetoscopic Release of Extremity Amniotic Bands With Risk of Amputation

Soldado, Francisco MD*; Aguirre, Marius PhD*; Peiró, Jose L. MD; Carreras, Elena PhD; Arevalo, Silvia MD; Fontecha, Cesar G. PhD*; Velez, Roberto MD*; Barber, Ignasi MD§; Martínez-Ibáñez, Vicenç PhD

Journal of Pediatric Orthopaedics: April-May 2009 - Volume 29 - Issue 3 - p 290-293
doi: 10.1097/BPO.0b013e31819c405f
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With the advent of less-invasive fetal surgery techniques, nonlethal disorders are considered amenable to intrauterine treatment. Extremity amniotic band syndrome fulfils the criteria of intrauterine disorders conformable with fetal treatment: capability of prenatal diagnosis and severity. We report 2 cases of extremity amniotic bands with risk of limb amputation released fetoscopically with YAG laser.

From the *Paediatric Orthopaedic Surgery Unit, Orthopaedic Surgery Department, †Fetal Surgery Unit, Pediatric Surgery Department, ‡Fetal Surgery Unit, Obstetric Department, and §Paediatric Radiology Department, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.

This study was conducted at Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.

None of the authors received financial support for this study.

Reprints: Francisco Soldado, MD, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Area Maternoinfantil., Passeig Vall d'Hebron 119-129, Barcelona 08035, Spain. E-mail: 34194fsc@comb.es.

© 2009 Lippincott Williams & Wilkins, Inc.