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Literatura académica sobre el tema "Peritoneal drain"

Autor: Grafiati

Publicado: 11 de marzo de 2023

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Artículos de revistas sobre el tema "Peritoneal drain"

Kumar, Rajneesh, Ankur Hastir, Lakshay Chopra, Sonali Jindal, R. P. S. Walia y Subhash Goyal. "Role of drains in cases of peptic ulcer perforations: comparison between single drain versus no drain". International Surgery Journal 7, n.º 2 (27 de enero de 2020): 404. http://dx.doi.org/10.18203/2349-2902.isj20200287.

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Background: Peptic ulcer perforation is one of the commonest causes of peritonitis and needs immediate surgical intervention after prompt resuscitation if mortality and morbidity are to be contained. Aims and objectives of the study was to compare role of Intra-abdominal drains prophylactically after plugging of these perforations single drain or no drain.Methods: In this study, we compared the relative safety and efficacy of putting single drain prophylactically near operation site or in natural abdominal fossae (hepato-renal pouch or sub hepatic) and no drain in cases of peritonitis due to peptic ulcer perforation. Study was done on 60 patients (one drain put in 30 patients Group A and no drain was put in other 30 patients of Group B). We handle the perforation after thorough peritoneal lavage with warm saline and metrogyl. All the perforation was closed by Grahm’s Patch.Results: No significant difference between drain and non-drain group as far age and sex concerned. Significant difference was seen in operative duration, hospital stay, wound dehiscence and post-operative fever, intraperitoneal collection or abscess formation. So use of drains are not effective in preventing post-operative infection rather there are chances of its blockage due to debris, intestine or omentum and tubes itself are source of infection as foreign body and there are chances of migration of bacteria from exterior to peritoneal cavity via these drains.Conclusions: Non drainage of peritoneal cavity after peptic ulcer perforation surgery is an effective method to reduce operative duration, hospital stay and wound dehiscence and post-operative pyrexia.

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Nguyen, Helen y Carolyn Houska Lund. "Exploratory Laparotomy or Peritoneal Drain?" Journal of Perinatal & Neonatal Nursing 21, n.º 1 (enero de 2007): 50–60. http://dx.doi.org/10.1097/00005237-200701000-00011.

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&NA;. "Exploratory Laparotomy or Peritoneal Drain?" Journal of Perinatal & Neonatal Nursing 21, n.º 1 (enero de 2007): 61–62. http://dx.doi.org/10.1097/00005237-200701000-00012.

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Bhoir, Lata N., Nilesh Y. Jagne y Divya Murali. "Is using peritoneal drains in bowel surgeries beneficial?" International Surgery Journal 4, n.º 2 (25 de enero de 2017): 650. http://dx.doi.org/10.18203/2349-2902.isj20170208.

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Background: Surgical drains of various types have been used, with the best intentions, in different surgeries for many years. It is often open question whether they achieve their intended purpose despite many years of surgery. There is paucity of evidence for the benefit of many types of surgical drainage and many surgeons still ‘follow their usual practice’. The dictum ‘when in doubt, drain’ from Lawson Tait, is well known to surgeons’. But many studies we find routine placement of drain has been shown to be ineffective or potentially harmful in various abdominal surgical procedure. We thus performed a systematic review of the studies of outcomes of with or without peritoneal drain in abdominal surgeries.Methods: A comparable study was conducted in between two groups with and without drain in patient belonging to all age undergoing small and large bowel surgeries. A random patient selection was done. Pooled estimates of mortality, morbidity, wound infection, blockage, pain, anastomotic leak, re-intervention and length of hospital stay were calculated.Results: With drain; duration of stay is more than without drain with p value found to be 0.0087. Drain is ineffective due to blockage in 38% patient. Wound infection is more with drain with p (0.003). Pain is more with drain with p (0.0001). There is no difference in anastomotic leak, distension, re-intervention and mortality with or without drain.Conclusions: After a century of scientific investigation and research, all surgeons should recall the words of Halstead ‘no drainage at all is better than ignorant employment of it’ rather than the advice of Lawson Tait ‘when in doubt, drain.

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Sommer, Allan. "Open Drain in Cycling Peritoneal Dialysis". Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 6, n.º 1 (enero de 1986): 41. http://dx.doi.org/10.1177/089686088600600112.

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Park, Min Sun, Hyon Ah Lee, Won Suk Chu, Dong Ho Yang y Seung Duk Hwang. "Peritoneal Accumulation of Age and Peritoneal Membrane Permeability". Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 20, n.º 4 (julio de 2000): 452–60. http://dx.doi.org/10.1177/089686080002000413.

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Background In continuous ambulatory peritoneal dialysis (CAPD), the peritoneal membrane is continuously exposed to high-glucose-containing dialysis solutions. Abnormally high glucose concentration in the peritoneal cavity may enhance advanced glycosylation end-product (AGE) formation and accumulation in the peritoneum. Increased AGE accumulation in the peritoneum, decreased ultrafiltration volume, and increased peritoneal permeability in long-term dialysis patients have been reported. Aim The purpose of the study was to evaluate the relation between peritoneal membrane permeability and peritoneal accumulation of AGE. Methods Peritoneal membrane permeability was evaluated by peritoneal equilibration test (PET) using dialysis solutions containing 4.25% glucose. Serum, dialysate, and peritoneal tissue levels of AGE were measured by ELISA method using polyclonal anti-AGE antibody. Peritoneal biopsy was performed during peritoneal catheter insertion [new group (group N), n = 18] and removal [long-term group (group LT), n = 10]. Peritoneal catheters were removed due to exit-site infection not extended into the internal cuff ( n = 6) and ultrafiltration failure ( n = 4) after 51.6 ± 31.5 months (13 – 101 months) of dialysis. PET data obtained within 3 months after the initiation of CAPD or before catheter removal were included in this study. Ten patients in group N and 4 patients in group LT were diabetic. Patients in group LT were significantly younger (46.5 ± 11.1 years vs 57.5 ± 1.3 years) and experienced more episodes of peritonitis (3.5 ± 2.1 vs 0.2 ± 0.7) than group N. Results Peritoneal tissue AGE level in group LT was significantly higher than in group N, in both nondiabetic (0.187 ± 0.108 U/mg vs 0.093 ± 0.08 U/mg of hydroxyproline, p < 0.03) and diabetic patients (0.384 ± 0.035 U/mg vs 0.152 ± 0.082 U/mg of hydroxyproline, p < 0.03), while serum and dialysate levels did not differ between the groups in both nondiabetic and diabetic patients. Drain volume (2600 ± 237 mL vs 2766 ± 222 mL, p = 0.07) and D4/D0 glucose (0.229 ± 0.066 vs 0.298 ± 0.081, p < 0.009) were lower, and D4/P4 creatinine (0.807 ± 0.100 vs 0.653 ± 0.144, p < 0.0001) and D1/P1 sodium (0.886 ± 0.040 vs 0.822 ± 0.032, p < 0.0003) were significantly higher in group LT than in group N. On linear regression analysis, AGE level in the peritoneum was directly correlated with duration of CAPD ( r = 0.476, p = 0.012), number of peritonitis episodes ( r = 0.433, p = 0.0215), D4/P4 creatinine ( r = 0.546, p < 0.027), and D1/P1 sodium ( r = 0.422, p = 0.0254), and inversely correlated with drain volume ( r = 0.432, p = 0.022) and D4/D0 glucose ( r = 0.552, p < 0.0023). AGE level in the peritoneal tissue and dialysate were significantly higher in diabetics than in nondiabetics in group LT, while these differences were not found in group N. Serum AGE level did not differ between nondiabetics and diabetics in either group N or group LT. Drain volume and D4/D0 glucose were lower and D4/P4 creatinine and D1/P1 sodium higher in diabetics than in nondiabetics in both groups. Conclusion Peritoneal accumulation of AGE increased with time on CAPD and number of peritonitis episodes, and was directly related with peritoneal permeability. Peritoneal AGE accumulation and peritoneal permeability in diabetic patients were higher than in nondiabetic patients from the beginning of CAPD.

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Solass, Wiebke, Philipp Horvath, Florian Struller, Ingmar Königsrainer, Stefan Beckert, Alfred Königsrainer, Frank-Jürgen Weinreich y Martin Schenk. "Functional vascular anatomy of the peritoneum in health and disease". Pleura and Peritoneum 1, n.º 3 (24 de abril de 2019): 145–58. http://dx.doi.org/10.1515/pp-2016-0015.

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AbstractThe peritoneum consists of a layer of mesothelial cells on a connective tissue base which is perfused with circulatory and lymphatic vessels. Total effective blood flow to the human peritoneum is estimated between 60 and 100 mL/min, representing 1–2 % of the cardiac outflow. The parietal peritoneum accounts for about 30 % of the peritoneal surface (anterior abdominal wall 4 %) and is vascularized from the circumflex, iliac, lumbar, intercostal, and epigastric arteries, giving rise to a quadrangular network of large, parallel blood vessels and their perpendicular offshoots. Parietal vessels drain into the inferior vena cava. The visceral peritoneum accounts for 70 % of the peritoneal surface and derives its blood supply from the three major arteries that supply the splanchnic organs, celiac and superior and inferior mesenteric. These vessels give rise to smaller arteries that anastomose extensively. The visceral peritoneum drains into the portal vein. Drugs absorbed are subject to first-pass hepatic metabolism. Peritoneal inflammation and cancer invasion induce neoangiogenesis, leading to the development of an important microvascular network. Anatomy of neovessels is abnormal and characterized by large size, varying diameter, convolution and blood extravasation. Neovessels have a defective ultrastructure: formation of large “mother vessels” requires degradation of venular and capillary basement membranes. Mother vessels give birth to numerous “daughter vessels”. Diffuse neoangiogenesis can be observed before appearance of macroscopic peritoneal metastasis. Multiplication of the peritoneal capillary surface by neoangiogenesis surface increases the part of cardiac outflow directed to the peritoneum.

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Pourmoghadam, Kamal K., Stacey Kubovec, William M. DeCampli, Bertha Ben Khallouq, Kurt Piggott, Carlos Blanco, Harun Fakioglu, Alicia Kube y Sukumar Suguna Narasimhulu. "Passive Peritoneal Drainage Impact on Fluid Balance and Inflammatory Mediators: A Randomized Pilot Study". World Journal for Pediatric and Congenital Heart Surgery 11, n.º 2 (25 de febrero de 2020): 150–58. http://dx.doi.org/10.1177/2150135119888143.

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Background: Infants after cardiopulmonary bypass are exposed to increasing inflammatory mediator release and are at risk of developing fluid overload. The aim of this pilot study was to evaluate the impact of passive peritoneal drainage on achieving negative fluid balance and its ability to dispose of inflammatory cytokines. Methods: From September 2014 to November 2016, infants undergoing STAT category 3, 4, and 5 operations were randomized to receive or not receive intraoperative prophylactic peritoneal drain. We analyzed time to negative fluid balance and perioperative variables for each group. Pro- and anti-inflammatory cytokines were measured from serum and peritoneal fluid in the passive peritoneal drainage group and serum in the control group postoperatively. Results: Infants were randomized to prophylactic passive peritoneal drain group (n = 13) and control (n = 12). The groups were not significantly different in pre- and postoperative peak lactate levels, postoperative length of stay, and mortality. Peritoneal drain patients reached time to negative fluid balance at a median of 1.42 days (interquartile range [IQR]: 1.00-2.91), whereas the control at 3.08 (IQR: 1.67-3.88; P = .043). Peritoneal drain patients had lower diuretic index at 72 hours, median of 2.86 (IQR: 1.21-4.94) versus 6.27 (IQR: 4.75-11.11; P = .006). Consistently, tumor necrosis factor-α, interleukin (IL)-4, IL-6, IL-8, IL-10, and interferon-γ were present at higher levels in peritoneal fluid than serum at 24 and 72 hours. However, serum cytokine levels in peritoneal drain and control group, at 24 and 72 hours postoperatively, did not differ significantly. Conclusions: The prophylactic passive peritoneal drain patients reached negative fluid balance earlier and used less diuretic in early postoperative period. The serum cytokine levels did not differ significantly between groups at 24 and 72 hours postoperatively. However, there was no significant difference in mortality and postoperative length of stay.

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Tzamaloukas, Antonios H., Deepak Malhotra y Glen H. Murata. "Drain Volume Required for a Target Peritoneal Clearance". ASAIO Journal 44, n.º 6 (noviembre de 1998): 828–34. http://dx.doi.org/10.1097/00002480-199811000-00012.

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Bernardini, Judith, Tracey Florio, Filitsa Bender, Linda Fried y Beth Piraino. "Methods to Determine Drain Volume for Peritoneal Dialysis Clearances". Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 24, n.º 2 (marzo de 2004): 182–85. http://dx.doi.org/10.1177/089686080402400210.

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Objective To compare the accuracy and convenience of 3 methods for measuring drain volume for peritoneal dialysis (PD) clearance studies. Design Prospective comparison of both automated PD (APD) and continuous ambulatory PD (CAPD) clearance study methods. Setting Adults ≥18 years old at 2 dialysis clinics. Patients 28 PD patients with 43 clearance studies, 15 on CAPD and 28 on APD. Interventions None. Main Outcome Measures Drain volume was determined by 3 methods for each study: ( 1 ) graduate-measured volume using a 2-L graduated cylinder; ( 2 ) weighed volume, with and without bag weight, using a digital floor scale or spring scale; ( 3 ) cycler-measured volume using the initial drain and ultrafiltration indicated by the cycler, plus the prescribed inflow volume without the last fill. Results There was no statistically significant difference in volumes using the 3 methods studied (all p > 0.89 for APD, all p > 0.97 for CAPD). Effluent volume was more accurate with the weight of the bag subtracted. Conclusion The most convenient and a precise method for APD is to determine the effluent drain volume using the prescription and total ultrafiltration and initial drain, as measured by the cycler. For CAPD, using the weight of drained bags is accurate but the weight of the empty bag must be subtracted. These approaches have the least risk of exposing staff to body fluids.

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Más fuentes

Tesis sobre el tema "Peritoneal drain"

ZAMPIERI, Nicola. "Necrotizing enterocolitis in infants: risk factors and clinical outcomes. The role of peritoneal drainage in Bell’s Stage 2". Doctoral thesis, 2011. http://hdl.handle.net/11562/349122.

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L'enterocolite necrotizzante è un emergenza sia neonatale che chirurgica; lo scopo di questo studio prospettico è di valutare il ruolo del drenaggio addominale preventivo in stadio 2 di nec con lo scopo di ridurre il numero di pazienti che progrediscono verso lo stadio 3 (perforazione intestinale). Materiali e metodi. Prospettivamente abbiamo osservato 56 pazienti trattati con l'apposzione del drenaggio o con il classico wait and see. sono stati creati criteri di inclusione ed esclusione. Abbiamo trattato con drenaggio solo i pazienti con consenso dei genitori. L'apposizone di drenaggio è stata eseguita con anestesia locale risultati: dopo aver studiato i dati è emerso che il drenaggio preventivo è un metodo efficace e sicuro per non far progredire clinicamente la nec. Ulteriori importanti dati vengono discussi. Conclusioni. Il drenaggio peritoneale è sicuro e potrebbe essere utilizzato come primo step per il trattamento della nec
Necrotizing enterocolitis is an emergency in neonatology and pediatric surgery. the aim of this prospective study was to evaluate the role of preventive abdominal drain in stage II nec in order to avoid clinical progression to stage III (intestinal perforation) Materials and methods: we prospectively treated 56 patients for NEC at stage II with two different management: peritoneal drain or wait and see, patients were selecteted with inclusion and exclusion criteria, we treat patients after parents consent. each patients underwent peritoneal drain under local anesthesia. data were collected for statistical analysis. results: after reviewing the medical charts our study showed that peritoneal drain in safe and effective to avoid the clinical progression to stage III.other important clinical aspect were described. Conclusions: peritoneal drain is safe and could be used as first treatment for stage II NEC to avoid clinical progression to stage III

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Libros sobre el tema "Peritoneal drain"

Southward, D. y T. Friesem. Trauma surgery. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780198510567.003.0018.

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Introduction 814Needle cricothyroidotomy 816Surgical cricothyroidotomy 820Needle thoracocentesis 822Intercostal drain insertion 824Venous cutdown 826Diagnostic peritoneal lavage (DPL) 828DPL, ultrasound, CT, or laparotomy 830There are very few surgical procedures that are required in the acute resuscitative phase of trauma management. The priority in trauma management follows the ATLS...

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Kim, Jinu y Aleka Scoco. Cerebrospinal Fluid Shunts. Editado por David E. Traul y Irene P. Osborn. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190850036.003.0021.

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Placement and revision of ventricular shunts has saved more lives in Western society than any other neurosurgical procedure. Estimates of a total of 75,000 shunt procedures are done yearly in North America. The majority of these cerebrospinal fluid (CSF)-diverting shunts originate in the lateral ventricle, drain into the peritoneum and are described as ventriculoperitoneal (VP) shunts. Other less common CSF shunt variants include ventriculoatrial and ventriculopleural. VP shunts are the most common neurosurgical procedure performed in both adults and children. An understanding of CSF flow dynamics, intracranial pressure, and cerebral perfusion helps guide anesthetic management of these procedures.

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Capítulos de libros sobre el tema "Peritoneal drain"

McMillan, Matthew T. y Charles M. Vollmer. "Peritoneal Drain Placement at Pancreatoduodenectomy". En Difficult Decisions in Surgery: An Evidence-Based Approach, 609–20. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-27365-5_53.

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Amici, G. y K. Thomaseth. "Role of Drain and Fill Profile in automated Peritoneal Dialysis". En Automated Peritoneal Dialysis, 44–53. Basel: KARGER, 1999. http://dx.doi.org/10.1159/000060030.

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Rothstein, William B. y Laura A. Boomer. "Percutaneous Peritoneal Drain Placement for Necrotizing Enterocolitis". En Operative Dictations in Pediatric Surgery, 125–26. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-24212-1_31.

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Barrett, Lucinda y Bridget Atkins. "Case 29". En Oxford Case Histories in Infectious Diseases and Microbiology, editado por Hilary Humphreys, 193–201. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198846482.003.0029.

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Neurosurgical infections include those of devices such as external ventricular drains and permanent shunts (e.g. ventriculo-peritoneal and ventriculo-atrial). Organisms can form biofilm on the surface of such devices, sometimes sufficient to cause blockage. Patients may present with signs of meningitis or of shunt blockage. In the intensive care setting patients may have fever and/or deterioration in their neurological status. These infections are complex to manage as they usually require removal/revision of the device and delivery of high levels of antibiotics to the central nervous system. Each of these has risks and needs to be expertly managed. This case describes an acute infection in an external ventricular drain.

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Ramrakha, Punit S., Kevin P. Moore y Amir H. Sam. "Practical procedures". En Oxford Handbook of Acute Medicine, 783–862. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198797425.003.0015.

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This chapter discusses practical procedures in acute medicine, including arterial blood sampling, arterial line insertion, central line insertion, internal jugular vein cannulation, subclavian vein cannulation, ultrasound (US)-guided central venous catheterization, pulmonary artery catheterization, temporary cardiac pacing (ventricular pacing, atrial pacing, complications), pericardial aspiration, DC cardioversion, intra-aortic balloon counterpulsation, principles of respiratory support, mechanical ventilation, nasal ventilation, positive pressure ventilation, percutaneous cricothyrotomy, endotracheal intubation, aspiration of a pneumothorax, aspiration of a pleural effusion, insertion of a chest drain, ascitic tap (paracentesis), total paracentesis, insertion of a Sengstaken–Blakemore tube, percutaneous liver biopsy, transjugular liver biopsy, transjugular intrahepatic portosystemic shunt (TIPS), peritoneal dialysis, intermittent haemodialysis, plasmapheresis, renal biopsy, pH determination, joint aspiration, lumbar puncture, and needle-stick injuries.

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"Peritoneal Drains". En Clinical Veterinary Advisor, 802–3. Elsevier, 2012. http://dx.doi.org/10.1016/b978-1-4160-9979-6.00257-9.

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Actas de conferencias sobre el tema "Peritoneal drain"

Coleman, Joanna, Leonie Armstrong, Jennifer Grieve, Jeanette Doran, Katie Frew, Sarah Robinson, Robert Johnston, Karl Jackson y Avinash Aujayeb. "123 Improving quality of life in malignant ascites with indwelling peritoneal drains". En Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 25 – 26 March 2021 | A virtual event, hosted by Make it Edinburgh Live, the Edinburgh International Conference Centre’s hybrid event platform. British Medical Journal Publishing Group, 2021. http://dx.doi.org/10.1136/spcare-2021-pcc.141.

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Balestra, Amanda Fernandes de Sousa Oliveira, Flávia Pascoal Teles y Karine Felipe Martins. "Fetal surgery in the context of myelomeningocele: repercussions and prognosis". En XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.055.

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Background: Myelomeningocele (MMC) is a congenital malformation of neural tube closure. The clinical picture comprises sensory and motor deficits at the point of spinal cord injury and below, in addition to ventriculomegaly, which requires ventriculo-peritoneal drains (DVP). Exposure of nervous tissue to amniotic fluid and trauma to the uterine wall, generates secondary damage. Intrauterine correction is the gold standard for MMC and aims to reduce organic and functional sequelae, improving the patient’s neurological prognosis. Objectives: The objective of this work is to identify the impact of fetal surgery against MMC. Methods: An integrative literature review was carried out based on articles selected from the Google Scholar and Scientific Eletronic Library Online databases. Results: The benefits of intrauterine neurosurgery outweigh the harm, based on maternal complications. Such maternal risks are: oligohydramnios, spontaneous rupture of the membrane, uterine dehiscence, premature birth, infections, blood transfusion, acute lung edema and contraindication for vaginal delivery due to uterine scarring. For the child, all the studies analyzed showed the same gains, extremely significant when compared to postnatal surgery: better cognitive development, greater probability of walking without using orthoses, less need for DVP. The gains from the fetal surgery technique go beyond the postnatal intervention. Conclusions: Therefore, the importance of early intrauterine treatment, in a properly equipped place and by qualified professionals, is reiterated, offering comprehensive care to pregnant women, preventing potential impasses and aiming at a better prognosis and quality of life for the child.

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