Fetal surgery in Costa Rica

Abstract

Fetal surgery is an alternative to improve patient outcomes for diseases such as twin to twin transfusion syndrome, myelomeningocele and many others. This review highlights an issue unknown in our country, even when these procedures have been successfully performed in our setting. The application of ultrasound has allowed the correct, timely identification of patients potentially treatable with those techniques. We reviewed the available evidence supporting the benefits of those procedures on both the fetuses and their mothers. We conclude that fetal surgery represents a multidisciplinary specialty that requires the participation of the obstetrician, neonatologist and anesthesiologist, among many other specialists.