Anesthetic management of hysterotomy plus open in utero repair of myelomeningocele (spina bifida)

Manejo anestésico en histerotomía más corrección intrauterina de espina bífida abierta o mielomeningocele

The correct implementation of pediatric and obstetric anesthesia is crucial to allow optimal surgical outcomes in pregnant women diagnosed with fetal myelomeningocele (MMC). The purpose of repairing MMC before birth is reducing the need of ventriculoperitoneal shunting and improving lower limbs motor function. This surgical challenge carries a greater chance of maternal morbidity, uterine dehiscence, uterine rupture secondary to hysterotomy and requiring cesarean delivery for this and all future pregnancies. This non-systematic review of the literature on anesthetic management of the mother-fetus binomial with CMM aims to socialize the best perioperative anesthesia strategy to manage these patients to the anesthesiology service.

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