For appointments Call (91)-11-71793018 or use our online form.

For Virtual Counselling, use:

For appointments
Call (91)-11-71793018 or use our online form. Click here.

For Virtual Counselling, use:

image
Online Appointment Form

Please fill in the required fields marked with an asterisk *

Patient Information
Patient's First Name: *
Patient's Last Name:  *
Email: *
Phone: *
Address:
City:
State:
Post code:
Country:
Date of Birth (mm/dd/yyyy):
Appointment details
Preferred Appointment Time:
 
a.m.
p.m.
Mon

Tue

Wed

Thu

Fri

When would you like the appointment?
Were you referred by a physician?
YesNo
Referring Physician's Name:
Referring Physician's Phone Number:
Sender Information
Sender's First Name: *
Sender's Last Name: *
Phone Number: *
Email: *
Security(Prove your humanity):

Anomaly Certification - Sample Images

Fetal Therapy
  • Home >  Fetal Therapy >  What is Fetal Surgery
    • What is Fetal Surgery

    We offer the full spectrum of feral therapies except FETO or open fetal surgery at present.

    Fetal surgery is a highly complex surgical intervention to repair birth defects in the womb that requires the most expert care for both mother and unborn baby.

    Its estimated that there would be about 487,000 babies born with birth defects in India, out of these 7200 per year are in Delhi. Maternal-fetal specialists have long known that some birth defects could be successfully treated after birth. But as technology, fetal imaging and prenatal testing have improved in the past few decades, so too has our knowledge of fetal development.

    Expanded diagnostic tools have allowed us to identify more precisely when conditions worsen during fetal development. This knowledge has helped us develop new ways to help babies sooner. Today, fetal therapy is recognized as one of the most promising fields in fetal medicine, and prenatal surgery is becoming an option for a growing number of babies with birth defects.

    We follow the principles laid down in 1982 when fetal surgery was first contemplated.

    Pre-requisite for considering fetal surgery*
    Fetal conditions which warrant in utero therapy are usually simple structural defects that interfere with normal fetal development but if corrected will allow normal development to proceed
    Accurate prenatal diagnosis
    Exclusion of associated structural and genetic abnormalities
    Normal fetal karyotype
    An understanding of the natural history of the disease with established prognosis – fetal intervention is justified only if there is a reasonable probability of benefit from it
    Serial evaluation of the fetus to differentiate those with mild disease who may not need intervention from those with severe disease who will not survive without intervention
    Therapy proven to be useful at least in animal models
    Informed consent after detailed discussion with the family regarding risks and benefits including long term outcomes
    Multidisciplinary team comprising obstetrician with interest in high risk pregnancy, fetal medicine specialist, neonatologist, paediatric surgeon and psychologist
    Centre equipped with the logistics, instruments, expertise and intensive care nursery to deal with these uncommon procedures
    * Adapted from Harrison et al, 1982

     

    We offer comprehensive fetal care in one centralized location

    Intrauterine transfusion

    An ultrasound-guided fetal intervention where a needle is inserted into the umbilical cord or the fetal abdomen and blood is transfused to the baby for treatment of severe anemia.
    Read more

    Fetoscopic laser photocoagulation for TTTS

    A surgical procedure using a small camera (fetoscope) to locate the abnormal blood vessel connections and treat the problem by sealing the abnormal connections using laser energy.
    Read more

    Radio frequency ablation or umbilical coagulation for complicated monochorionic pregnancies

    A rare and highly selective fetal intervention where out of concern for the coexisting twin’s health or life, blood flow to the affected twin is interrupted using radiofrequency waves or bipolar energy. A clinical example of this procedure being used is a TRAP sequence, where the life of the pump twin is in imminent danger.

    Fetal shunt placement

    An ultrasound-guided fetal intervention where a tube (shunt) is placed in the abdomen of the fetus to connect the bladder to the amniotic cavity, leading to drainage of the blocked urine.
    Read more

    Amniotic band resection

    Amniotic bands that are constricting the umbilical cord or the extremities and threaten amputation may be divided. With a combination of ultrasound guidance and fetoscopy (a tube with a camera at the tip inserted into the uterus), the bands can be identified and divided with surgical instruments or laser.
    Read more

    Ex-utero intrapartum treatment (EXIT)

    Ex-utero intrapartum treatment, or the “EXIT Procedure,” is a specialized fetal surgery operation that occurs at the time of birth for certain fetuses with rare conditions that may be predicted to have problems immediately after birth. This procedure is performed similar to other fetal surgery operations in that the mother is under general anesthesia.
    Read more

    Fetal Therapy
    Contact us form

    Please use the form below to send us your comments, questions or feedback. If you prefer the telephone, we've added below a list of helpful phone numbers.

    Please fill in the required fields marked with an asterisk *

    Name: *
    Email: *
    Subject: *
    Message: *
    Security(Prove your humanity):
    Patient Referral Form

    Please fill in the required fields marked with an asterisk *

    Patient Information
    Patient's First Name: *
    Patient's Last Name: *
    Phone Number: *
    Email: *
    Sender Information
    Sender's First Name: *
    Sender's Last Name: *
    Phone Number: *
    Email: *
    Security:
    Fetal Medicine Services Fetal Therapy
    Centre Education & Training   

    For Virtual Counselling, use:

    Blog
    © 2024 Apollo Centre for Fetal Medicine. | All Rights Reserved
    Credits: Grey Coconut Designs Pvt. Ltd.