Surgeries in-utero are a delicate process, making the extraordinary success of this procedure a sign of hope and a human triumph.
The operation took place in April on a 28-week-old fetus. The unborn child had been diagnosed with a serious form of congenital diaphragmatic hernia (CDH), as reported by Italian news outlet ANSA. Although risky, the incredible in-utero surgery was a marvelous success.
What’s a congenital diaphragmatic hernia?
This congenital condition is a rare disease that occurs in one out of every 2,500-4,000 live births. In Italy, where the unborn child lives, the condition affects about 150-180 children a year; in the USA, the number is over 1,600, according to CDH International.
The condition occurs “when a baby’s diaphragm (a thin sheet of muscle that separates the abdomen from the chest) fails to fully form, allowing abdominal organs to enter the chest cavity and prevent lung growth,” according to the same source. The mortality rate linked to this birth defect can range widely depending on the extent of the defect and on the treatment the child is able to receive; CDH International cites an average 50% chance of survival.
The surgery was successful!
The doctors at the Bambino Gesù Hospital, together with those of the Mangiagalli Clinic in Milan and the San Pietro-Fatebenefratelli Hospital in Rome, had to insert a fetoscope (a very thin probe equipped with a fiberoptic camera) into the abdomen of the pregnant mother, enter the uterus, and reach the baby’s mouth. At that age, the baby was just 14 inches long and weighed about 2.6 pounds.
From there, the fetoscope descended into the trachea to position and inflate a balloon that would behave like a cork, preventing the liquid normally produced by the lungs from being pushed out by the other organs, which would irreparably compromise the development of the lungs. The fluid thus maintained inside the lungs will allow for their gradual expansion and thus ensure, at the time of the child’s first breath, adequate oxygenation.
The operation lasted 45 minutes and was completed without complications. Ten days later, an ultrasound check-up revealed a volumetric increase in the lungs of the small fetus—the balloon was working to help the little one!
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📌#buonenotizie Il Covid-19 non ferma l'impegno per la vita. Una delicata procedura ha permesso di posizionare un palloncino nella trachea di un feto di 28 settimane colpito da una grave forma di ernia diaframmatica congenita, prima della nascita. L'intervento, il primo di questo tipo effettuato in Ospedale, è stato realizzato in collaborazione con gli specialisti del Policlinico di Milano e dell'Ospedale San Pietro – Fatebenefratelli per consentire lo sviluppo dei polmoni e aumentare le chances di sopravvivenza del feto. A distanza di 10 giorni dall'operazione, i controlli ecografici hanno rilevato un significativo aumento del volume dei polmoni fetali. #ospedalebambinogesu #erniadiaframmatica #chirurgiafetale #gravidanza #feto #nuovavita
The identities of the unborn child and of his or her parents were not released to the public, to protect their privacy, so it’s difficult to find updates on their progress, but we hope and pray that the pregnancy has continued safely and uneventfully for both mother and child.
During this era, when we may worry at seeing the current limits of science in the face of COVID-19, the amazing outcome of such a tricky procedure can bring us hope and give us confidence in the ability of humanity, with the help of our Creator, to triumph over the many adversities we are forced to face.
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