{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:21:39Z","timestamp":1787761299085,"version":"build-2784847793"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Advances in prenatal diagnostic techniques have enabled early detection of potentially correctable foetal anomalies. Here, we summarise recent developments in anaesthesia for foetal surgery. Types of foetal surgery include minimally invasive, open mid-gestational and ex-utero intrapartum treatment (EXIT) procedures. Foetoscopic surgery avoids hysterotomy, with risk of uterine dehiscence, preserving the possibility of subsequent vaginal delivery. Minimally invasive procedures are performed under local or regional anaesthesia; open or EXIT procedures are usually done under general anaesthesia. Requirements include maintenance of uteroplacental blood flow, and uterine relaxation to prevent placental separation and premature labour. Foetal requirements include monitoring of well-being, providing analgesia and immobility. EXIT procedures require maintenance of placental circulation till the airway is secured, requiring multidisciplinary involvement. Here, the uterine tone must return after baby delivery to prevent major maternal haemorrhage. The anaesthesiologist plays a crucial role in maintaining maternal and foetal homeostasis and optimising surgical conditions.<\/jats:p>","DOI":"10.4103\/ija.ija_964_22","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T08:48:37Z","timestamp":1674118117000},"page":"11-18","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Recent advances in anaesthesia for intrauterine and foetal surgery"],"prefix":"10.4103","volume":"67","author":[{"given":"Gita","family":"Nath","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Axon Anaesthesia Associates, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Subrahmanyam","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Axon Anaesthesia Associates, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Jayanthi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranju","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Ramesh","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanita","family":"Ahuja","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,1,21]]},"reference":[{"key":"R1-20240902","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.aan.2021.08.004","article-title":"Anesthesia for fetal interventions- An update","volume":"39","author":"Hoagland","year":"2021","journal-title":"Adv Anesth"},{"key":"R2-20240902","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1111\/pan.13109","article-title":"Anesthesia for fetal surgery","volume":"27","author":"Hoagland","year":"2017","journal-title":"Paediatr Anaesth"},{"key":"R3-20240902","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1056\/NEJMoa1014379","article-title":"A randomized trial of prenatal versus postnatal repair of myelomeningocele","volume":"364","author":"Adzick","year":"2011","journal-title":"N Engl J 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complications following open and fetoscopic fetal surgery:A systematic review and meta-analysis","volume":"39","author":"Sacco","year":"2019","journal-title":"Prenat Diagn"},{"key":"R24-20240902","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1002\/uog.10136","article-title":"Angiogenic and antiangiogenic factors before and after resolution of maternal mirror syndrome","volume":"40","author":"Llurba","year":"2012","journal-title":"Ultrasound Obstet Gynecol"},{"key":"R25-20240902","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1186\/s12884-018-1718-0","article-title":"Resolution of maternal Mirror syndrome after successful fetal intrauterine therapy:A case series","volume":"18","author":"Chimenea","year":"2018","journal-title":"BMC Pregnancy and Childbirth"}],"container-title":["Indian Journal of 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