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Operative Fetoscopy

Over the past several decades society has been witness to a transformation in its view of the fetus as a patient. This in part is due to high-resolution obstetrical ultrasound and other prenatal screening and diagnostic techniques that have allowed doctors to better understand fetal conditions. Until recently, there has been limited success in the treatment of fetal and placental problems. Parents were left with few options once a fetal abnormality was diagnosed. Fortunately, recent technological advances in microsurgical instrumentation have allowed surgical access into the womb such that there is minimal disturbance to the pregnancy and the mother.

This technique, called operative fetoscopy, is performed under local anesthesia via an incision that is less than half of one centimeter. A wide variety of fetal abnormalities have been addressed via operative fetoscopy, including twin-twin transfusion syndrome, monochorionic twins with selective intrauterine growth restriction, acardiac/TRAP sequence and other discordant anomalous twins, lower urinary tract obstruction (posterior urethral valves), congenital diaphragmatic hernia, fetal and placental tumors, fetal cardiac abnormalities, and amniotic bands, to name a few. Please click on the individual fetal conditions listed above for further details.


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Cole Landry's Story: 2009

The Landry family.

Dr. Ramen Chmait performed the the fourth successful procedure worldwide to shrink a congenital cystic adenomatiod malformation (CCAM), a mass of abnormal lung tissue, and release the pressure on Cole's heart thereby giving him a chance at surviving. Today Cole is a happy, smiling boy.

learn more about acardiac twins

Twin-Twin Transfusion Syndrome: 2007

LA Fetal Therapy is pioneering a new treatment for twin-twin transfusion syndrome, also known as TTTS, using laser energy to seal off the blood vessels that shunt blood between two fetuses that share the same placenta.

learn more about acardiac twins

Lower Urinary Tract Obstruction: 2008

Fetal lower urinary tract obstruction (LUTO) is a rare condition that is caused by a blockage of fetal urination. Because the baby cannot empty the bladder, the baby’s bladder subsequently becomes very large and distended. Learn more about what LA Fetal Therapy is doing to correct this fetal condition in utero.

learn more about acardiac twins