Modern fetal surgery-a historical review of the happenings that shaped modern fetal surgery and its practices.
Modern fetal surgery-a historical review of the happenings that shaped modern fetal surgery and its practices.
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DOI：
10.21037/tp-20-114
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发表时间：
2021-05
影响因子：
2
通讯作者：
Harrison MR
中科院分区：
文献类型：
--
作者：
Evans LL;Harrison MR
胎儿外科的历史是不断发展的。在过去的50年里，胎儿手术已经从一个纯粹的想法发展成为一个国际上受人尊敬的创新手术领域。本文旨在对母胎手术事业如何成为现代版本进行历史回顾。这篇综述较少关注针对相对较少的疾病的特定治疗的历史，而更多地关注整个母胎手术领域的发展。各种内部和外部的影响，引导该领域的演变进行了讨论的时间顺序。自20世纪80年代现代胎儿外科开始以来，大的范式转变已经成为整个领域发展的特征。创新的干预措施现在是基于生理操作，而不是简单的解剖修复，胎儿镜检查已成为更常见的首选手术方法，严格的科学评估与随机对照试验，现在是社会所期望的标准。与20世纪80年代初该领域首次开始时非常相似，最近社区领导人通过发布创新和临床实践的道德准则来保护母胎手术的完整性。这段令人难以置信的创新历史、严谨的科学和道德思考是现代母胎手术的基础。
The history of fetal surgery is one of constant evolution. Over the last 50 years, fetal surgery has progressed from a mere idea to an internationally respected innovative field of surgery. This article aims to provide a historical review of how the enterprise of maternal-fetal surgery came to be its modern version. This review is less focused on the history of specific therapies for a relatively small number of conditions, and more on how the whole field of maternal-fetal surgery evolved. The various internal and external influences that steered the field’s evolution are discussed in chronologic order. Since the start of modern fetal surgery in the 1980s, large paradigm shifts have characterized the growth of the field as a whole. Innovative interventions are now based on physiologic manipulation as opposed to simple anatomic repair, fetoscopy has become the more frequently preferred surgical approach, and rigorous scientific evaluation with randomized controlled trials is now the standard expected by the community. In a very similar fashion to when the field first began in the early 1980s, recently community’s leaders have risen to protect the integrity of maternal-fetal surgery by publishing ethical guidelines for innovation and clinical practice. This incredible history of innovation, rigorous science and ethical contemplation is the foundation on which modern maternal-fetal surgery rests.
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影响因子：
120.7
作者：
Bruner, JP;Tulipan, N;Reed, GW
通讯作者：
Reed, GW
影响因子：
3
作者：
Chervenak, Frank A.;McCullough, Laurence B.
通讯作者：
McCullough, Laurence B.
影响因子：
7.2
作者：
通讯作者：
--
影响因子：
2.2
作者：
Bruner, JP;Tulipan, NB;Vrabcak, EK
通讯作者：
Vrabcak, EK
DOI：
10.1016/s0002-9378(66)80015-7
发表时间：
1966-01-01
影响因子：
9.8
作者：
ASENSIO, SH;FIGUEROA.JG;PELEGRINA, IA
通讯作者：
PELEGRINA, IA