Eur J Pediatr Surg 2002; 12: 22-24
DOI: 10.1055/s-2002-36867
Original Article

Georg Thieme Verlag Stuttart, New York · Masson Editeur Paris

Fetal Surgery for Spina Bifida Aperta: To Be or Not to Be?

M. Patricolo 1 , G. Noia 2 , F. Pomini 2 , L. Perilli 1 , E. lannace 3 , C. Catesini 4 , S. Mancuso 2 , P. Caione 1
  • 1Division of Pediatric Urology, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy
  • 2Department for Maternal-Fetal Health, Universita Cattolica del Sacro Cuore, Policlinico “A. Gemelli”, Rome, Italy
  • 3Department of Cardiology, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy
  • 4Department of Anesthesiology and Intensive Care, Ospedale Pediatrico Bambino Gesù, IRCCS, Palidoro, Italy
Further Information

Publication History

Received: 10 August 2002

Publication Date:
13 March 2003 (online)


Fetal SBA (spina bifida aperta) has been operated upon in more than 213 cases in the USA in the last 8 years. Indications and results still remain controversial. Our group reproduced successfully Meuli's model in sheep and reviewed the literature on SBA and the Internet updated sites on the theme. Then we reviewed the follow-up of all cases operated upon postnatally in 20 years at a Neurosurgery Department in Rome. We published all the data regarding the three above-mentioned steps. This paper contains reflections on the three, and our opinion on the correct approach to prenatally diagnosed SBA, as far as fetal surgery is concerned.


Dr. Mario Patricolo

Division of Pediatric Urology
Ospedale Pediatrico Bambino Gesù IRCCS

Largo Sant'Onofrio 4

00165 Rome