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Endoscopic intrauterine fetal therapy: a monkey model.
Feitz, W F; Steegers, E A; Aarnink, R G; Arts, T; De Vries, J D; Van der Wildt, B.
Afiliación
  • Feitz WF; Department of Urology, University Hospital Nijmegen, The Netherlands.
Urology ; 47(1): 118-9, 1996 Jan.
Article en En | MEDLINE | ID: mdl-8560644
OBJECTIVES: Prenatal ultrasonographic investigations have led to an increasing number of prenatally detected abnormalities, of which a large number involves the urogenital tract. This study was performed to evaluate if endoscopic intra-amniotic access is possible in primates. METHODS: In 10 midtrimester rhesus monkeys (Macaca mulatta), endoscopic intrauterine fetoscopy was performed with three access cannulas. Using a Seldinger technique, a vascular access system, and a pediatric laparoscopy set, intra-amniotic inspection was attempted. Fetal growth throughout pregnancy was monitored by ultrasonographic measurements of fetal biometry. RESULTS: Intrauterine access could successfully be achieved in 10 rhesus monkeys with three cannulas. After partial amniotic fluid exchange, adequate fetoscopy was always possible. Two monkeys aborted on the second and sixth postoperative days. Serial ultrasonographic investigations for fetal biometry showed no disturbance of the intrauterine growth patterns in the remaining 8 monkeys. CONCLUSIONS: We currently conclude that the rhesus monkey model for experimental intrauterine endoscopic surgery may be suitable for study of the developmental abnormalities of the genitourinary tract.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Histeroscopía / Enfermedades Fetales Límite: Animals / Pregnancy Idioma: En Revista: Urology Año: 1996 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Histeroscopía / Enfermedades Fetales Límite: Animals / Pregnancy Idioma: En Revista: Urology Año: 1996 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos