Our Approach to Treatment
Moderate TOTAL Trial
Texas Children’s Fetal Center® in collaboration with Baylor College of Medicine is the first center in the United States to participate in the Moderate TOTAL trial. We are now enrolling pregnant women expecting a baby with moderate congenital diaphragmatic hernia (CDH). Learn More
Texas Children’s Fetal Center® is one of only a few worldwide centers to offer the full spectrum of fetal therapies.
Experts at the Fetal Center are internationally recognized leaders in fetal medicine and fetal and neonatal surgery. Patients from around the world visit the Fetal Center to receive the most advanced care for their unborn children.
We offer comprehensive fetal care in one centralized location.
Open fetal surgery for SCT and vascular tumors
Fetuses with SCT or large vascular tumors may have their hearts working very hard to supply the increased blood flow to the tumors. This may result in heart failure (hydrops) in the fetus. To avert hydrops, the fetuses can undergo removal of the tumors during the pregnancy.
Open fetal surgery for lung masses/CCAM
In rare instances, open fetal surgery may be required to save the life of a fetus with a very large lung mass. Whereas most fetuses with lung masses do not require treatment, in rare cases, fetal treatment may be required.
Open fetal surgery for spina bifida
We perform open fetal surgery repair for some fetuses with spina bifida. In this operation, the mother’s abdomen and uterus are opened. The defect in the spine is exposed and pediatric neurosurgeons repair the defect, similar to that which might be performed after birth.
Fetal cardiac intervention
These are procedures done on the fetal heart while the fetus is still inside the uterus. It involves a multidisciplinary team of maternal fetal medicine specialists, fetal cardiologists, and interventional pediatric cardiologists.
Ex-utero intrapartum treatment (EXIT)
Ex-utero intrapartum treatment, or the “EXIT Procedure,” is a specialized fetal surgical operation that occurs at the time of birth for certain fetuses with rare conditions that may be predicted to have problems immediately after birth. This procedure is performed under general anesthesia, similar to other fetal surgical operations
Selective fetoscopic laser photocoagulation (SFLP) for TTTS
A surgical procedure using a small camera (fetoscope) to locate the abnormal blood vessel connections and treat the problem by sealing the abnormal connections using laser energy.
Fetal Tracheal Occlusion (FETO) for CDH
In some very severe cases of congenital diaphragmatic hernia, the lungs are very small and in spite of the best management, these neonates do not survive after birth. Some fetuses, when diagnosed early enough, may be eligible for an experimental procedure to occlude the trachea of the fetus with a balloon.
Amniotic band resection
Amniotic bands that are constricting the umbilical cord or the extremities and threaten amputation may be divided. With a combination of ultrasound guidance and fetoscopy (a tube with a camera at the tip inserted into the uterus), the bands can be identified and divided with surgical instruments or laser.
Fetal shunt placement
An ultrasound-guided fetal intervention where a tube (shunt) is placed in the abdomen of the fetus to connect the bladder to the amniotic cavity, leading to drainage of the blocked urine.
An ultrasound-guided fetal intervention where a needle is inserted into the umbilical cord or the fetal abdomen and blood is transfused to the baby for treatment of severe anemia.
Radio frequency ablation or umbilical coagulation for complicated monochorionic pregnancies
A rare and highly selective fetal intervention where out of concern for the coexisting twin's health or life, blood flow to the affected twin is interrupted using radiofrequency waves or bipolar energy. A clinical example of this procedure being used is a TRAP sequence, where the life of the pump twin is in imminent danger.