An update on amniotic bands sequence.

Autor: López-Muñoz E; Unidad de Investigación Médica en Medicina Reproductiva, Unidad Médica de Alta Especialidad, Hospital de Ginecoobstetricia Nº 4 Luis Castelazo Ayala, Instituto Mexicano del Seguro Social, Ciudad de México. astridkaryme2001@yahoo.com.mx., Becerra-Solano LE; Unidad de Investigación Médica en Medicina Reproductiva, Unidad Médica de Alta Especialidad, Hospital de Ginecoobstetricia Nº 4 Luis Castelazo Ayala, Instituto Mexicano del Seguro Social, Ciudad de México.
Jazyk: English; Spanish; Castilian
Zdroj: Archivos argentinos de pediatria [Arch Argent Pediatr] 2018 Jun 01; Vol. 116 (3), pp. e409-e420.
DOI: 10.5546/aap.2018.eng.e409
Abstrakt: Amniotic bands sequence is a congenital disorder characterized by craniofacial, body wall, and limb anomalies that may be associated with fetalplacental fibrous bands. Its prevalence has been reported to range from 0.19 to 8.1 per 10 000 births. Different theories have attempted to explain the etiology of amniotic band sequence; however, none has individually been able to support each and every defect observed, so it has been considered to be a multifactorial condition. The (pre- and post-natal) identification of anomalies suggestive of amniotic band sequence is useful for the diagnostic approach and implementation of timely therapeutic interventions favoring the release of the amniotic bands using fetoscopy with recovery of the involved distal limb perfusion, or else the possibility of performing a post-natal surgical repair. It is also helpful to provide genetic counseling. This article offers an update on the epidemiological aspects, etiological theories, risk factors, clinical characteristics, diagnosis (including antenatal diagnosis), genetic counseling, therapeutic approach, and prognosis of amniotic bands sequence.
(Sociedad Argentina de Pediatría.)
Databáze: MEDLINE