Velázquez TB, Ibarra SJ, Acevedo GS, Gallardo GJM, Camargo ML, Guzmán HME

Language: Spanish
References: 13
Page: 203-213
PDF size: 199.21 Kb.

ABSTRACT

Introduction: The understanding of the causes, mechanisms and prenatal handling of the low obstructive uropathy, has increased significantly, which have allowed to improve the methods for the prenatal evaluation and the selection of the fetuses for treatments invader. The low obstructive uropathy is the most frequent renal abnormality diagnosed during the prenatal period. The treatment in uterus promises to improve the results when preventing the progressive damage of the tract urinal.
Objective: To evaluate the effect in qualitative way of the vesicoamniotics derivations in the perinatal survival in fetuses with low obstructive uropathy.
Material and methods: Outstanding articles that were investigated in the databases MEDLINE, OVID, EMBASE and the source of data of the COCHRANE from 1966 up to June 2007.
Results: There were identified a whole of eight articles, six series of cases and two reports of two cases, having a whole of 152 cases. From these to 58.5% they vesicoamniotics derivation was placed and to the rest not. The survival was 33.5% in which treatment applied to itself in uterus and only 8.5% among not agreements.
Conclusion: The information available up to the moment is too heterogeneous. It is necessary to rely on a suitable selection of the patients, in order that the fetuses with low uropathy obstructive beneficiaries of the therapy in uterus across the placement of vesicoamniotics derivations and it could improve the perinatal survival. In addition, this review allows us to infer that with the surgery laser for fetoscopy can improve furthermore the survival of these patients, since the ablation of the valves is realized directly, but still the technique and his results will have to be evaluated meticulously.

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