This intensive course focuses on advanced prenatal diagnosis and fetal surgery techniques. It includes theoretical sessions on congenital malformations, cardiac surgery, and procedures such as fetoscopy, fetal reduction, and correction of defects like myelomeningocele and diaphragmatic hernia. Practical training on experimental models covers uterine exploration, Nd-YAG laser use, amniotic band release, and endoscopic fetal tracheal occlusion.
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This intensive course, directed by Dr. Francisco Miguel Sánchez Margallo (Scientific Director, CCMIJU) and Dr. José Luis Peiró (NYU Langone Health, Director of Advanced Fetal Care), provides a comprehensive update on fetoscopy and advanced fetal surgery techniques. It is designed for professionals specializing in obstetrics, gynecology, and pediatric surgery who are interested in innovations in prenatal diagnosis and intrauterine treatment of congenital malformations.
The program combines highly complex theoretical and practical sessions. The theoretical lectures, delivered by international experts such as Alberto Galindo, Fernando Vuletin, José Luis Encinas, Silvia Arévalo, and Fernando Ferrer Márquez, cover topics including prenatal diagnosis, management of complications in monochorionic twin pregnancies, fetal reduction in multichorionic pregnancies, congenital malformations (sacrococcygeal teratoma, pulmonary malformations, congenital diaphragmatic hernia, and amniotic band syndrome), fetal cardiac surgery, myelomeningocele, and tocolysis strategies in fetal surgery.
The practical sessions, conducted on experimental models, allow participants to apply advanced fetoscopic techniques, including uterine cavity exploration, Nd-YAG laser photocoagulation of placental vessels, amniotic band release, and endoscopic fetal tracheal occlusion for the treatment of severe congenital diaphragmatic hernia.
This course provides a comprehensive experience that combines cutting-edge theoretical knowledge with hands-on training in complex intrauterine procedures, ensuring the acquisition of advanced competencies in minimally invasive fetal surgery.
Course Directors:
Dr. Francisco Miguel Sánchez Margallo \ Scientific Director, Jesús Usón Minimally Invasive Surgery Center
Dr. José Luis Peiró \ NYU Langone Health, Director of Advanced Fetal Care
Faculty:
Dr. José Luis Peiró \ NYU Langone Health, Director of Advanced Fetal Care
Dr. Alberto Galindo \ Chief of the Obstetrics and Gynecology Department, Hospital 12 de Octubre, Madrid
Dr. Fernando Vuletin \ Chief of the Pediatric Surgery Section, Catholic University of Chile
Dr. José Luis Encinas \ Area Specialist in Pediatric Surgery. University Hospital La Paz, Madrid
Dra Silvia Arevalo \ Head of the Obstetrics Service Section at Vall d’Hebron University Hospital
Dr. Fernando Ferrer Márquez \ Head of the Fetal Surgery Unit, Department of Obstetrics, Catholic University of Chile.
Technical Secretariat:
Laura Pires: lcpires@ccmijesususon.com
Wednesday, October 21
09.00 h. Registration
09.05 h. Opening ceremony
09.45 h. Prenatal diagnosis (Dra. Arévalo)
10.15 h. Animal model in fetal surgery (Dr. Vuletín)
10.45 h. Complications in monochorionic twin (Dra. Arévalo)
11.15 h. Fetal reduction in bichoral or multichoral gestation (Dr. Galindo/Dr. Jesús Rodríguez)
11.45 h. Coffee break
12.00 h. Sacrococcygeal teratoma (Dr.Foong Lim/Dr. Encinas)
12.30 h. Congenital lung malformations (Dr. Vuletín)
13.00 h. Fetal cardiac surgery (Dr. Galindo/Dr.Jesús Rodríguez)
13.45 h. Congenital diaphragmatic hernia / Amniotic band syndrome / Fetal urinary obstruction (Dr. Peiró)
14.15 h. Lunch
15.15 h. EXIT procedure (Dr. Foong Lim/Dr. Encinas)
15.30 h. Myelomeningocele (Dr. Peiró)
15.45 h. Minimally Invasive Diagnostic and Therapeutic Procedures (Dr. Ferrer)
16.00 h. Diagnosis and evaluation of myelomeningocele (Dra. Arévalo)
16.15 h. Tocolysis in fetal therapy (Dr. Rodríguez)
16.30 h. Discussion and last comments
17.00 h. End of the day
Saturday, October 24,
09.00 h. DEMONSTRATION IN THE EXPERIMENTAL MODEL - Anatomy and physiology of pregnancy in experimental model - Performing open fetal surgery techniques - Introduction to basic material for fetoscopy - Basic technique of fetoscopy - Uterine cavity exploration - Using the Nd-YAG Laser for photo-coagulation of placental vessels - Resolution of constrictive amniotic bands - Fetal endoscopic tracheal occlusion by balloon (treatment of severe CDH)
10.30 h. Coffee break
10.45 h. PRACTICAL SESSION IN EXPERIMENTAL MODEL
14.00 h. Lunch
15.00 h. PRACTICAL SESSION IN EXPERIMENTAL MODEL
17.00 h. Closing ceremony and delivery of attendance diplomas
