González-Navarro P

Idioma: Español
Referencias bibliográficas: 26
Paginas: 283-289
Archivo PDF: 970.30 Kb.

FRAGMENTO

ANTECEDENTES

El grupo de cirugía fetal en la ciudad de México (Medicina y Cirugía Fetal CDMX) se formó en enero del año 2021. En un inicio estaba integrado por tres ginecólogos materno-fetales lidereados por el Dr. Raigam Jafet Martínez Portilla, con adiestramiento en cirugía fetal en España, dos neurocirujanos especialistas en pediatría-fetal, tres anestesiólogos obstetras, un neonatólogo experto en neurodesarrollo y dos rehabilitadores. En el año 2023 se integró al grupo el Dr. David Basurto Diaz, ginecólogo maternofetal capacitado en cirugía fetal en Bélgica.
El día 29 de marzo del 2023 se inaugura el Centro de Medicina y Cirugía Fetal Star Médica HIP (Fetal Med&C «dando latidos de esperanza »); posteriormente surge el Pabellón de la Mujer, con certificación por el Canadian Healthcare Council el primero de marzo del 2025.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Ring LE, Ginosar Y. Anesthesia for fetal surgery and fetal procedures.Clin Perinatol. 2019;46:801-816.

2. Dewey M, Preta G. Recent advancements in fetal anesthesia. Curr OpinAnaesthesiol. 2025;38:242-246.

3. Thill B. The fetal pain paradox. Front Pain Res (Lausanne).2023;4:1128530.

4. Bellieni C. Analgesia for fetal pain during prenatal surgery: 10 years ofprogress. Pediatr Res. 2021;89:1612-1618.

5. Sekulic S. et al. Appearance of fetal pain could be associated withmaturation of the mesodiencephalic structures. J Pain Res. 2016;9:1031-1038.

6. Twohig B, Walter C, Rachler R, Cosgrove M. Anesthetic Considerationsfor Maternal-Fetal Interventions. AANA J. 2025;93:223-232.

7. Liu CA, Low S, Tran KM. Anaesthesia for fetal interventions. BJA Educ.2023;23:162-171.

8. Maldonado C, Torres P, Riquelme D. Anestesia para cirugía fetal:consideraciones anestésicas y alcances terapéuticos. Rev Chil Anest.2019;48:324-330.

9. Dick JR, Wimalasundera R, Nandi R. Maternal and fetal anaesthesia forfetal surgery. Anaesthesia. 2021;76:63-68.

10. Olutoye O, Baker BW, Belfort MA, Olutoye O. Food and DrugAdministration warning on anesthesia and brain development:implications for obstetric and fetal surgery. Am J Obstet Gynecol.2018;218:98-102.

11. Ji SH, Kang P, Cho SA, Park JB, Jang YE, Kim EH, et al. Effects ofdexmedetomidine-remifentanil on neurodevelopment of children afterinhalation anesthesia: a randomized clinical trial. Anesthesiology.2025;143:827-834.

12. Cinquegrana D, Boppana SH, Berman D, Nguyen TT, Baschat AA,Murphy J, et al. Anesthetic neurotoxicity in the developing brain: anupdate on the insights and implications for fetal surgery. Anesth PainMed (Seoul). 2024;19:S96-S104.

13. Chien LN, Lin HC, Shao YH, Chiou ST, Chiou HY. Risk of autismassociated with general anesthesia during cesarean delivery: apopulation-based birth-cohort analysis. J Autism Dev Disord.2015;45:932-942.

14. Sun LS, Li G, Miller TL, Salorio C, Byrne MW, Bellinger DC, et al.Association between a single general anesthesia exposure before age36 months and neurocognitive outcomes in later childhood. JAMA2016;315:2312-2320.

15. Endesfelder S, Makki H, von Haefen C, Spies CD, Bührer C, Sifringer M.Neuroprotective effects of dexmedetomidine against hyperoxia-inducedinjury in the developing rat brain. PLoS One. 2017;12:e0171498.

16. Degos V, Charpentier TL, Chhor V, Brissaud O, Lebon S, SchwendimannL, et al. Neuroprotective effects of dexmedetomidine against glutamateagonistinduced neuronal cell death are related to increased astrocytebrain-derived neurotrophic factor expression. Anesthesiology.2013;118:1123-1132.

17. Nelson O, Simpao AF, Tran KM, Lin EE. Fetal anesthesia: intrauterinetherapies and immediate postnatal anesthesia for noncardíac surgicalinterventions. Curr Opin Anaesthesiol. 2020;33:368-373.

18. Kodali BS, Bharadwaj S. Foetal surgery: anaesthetic implications andstrategic management. Indian J Anaesth. 2018;62:717-723.

19. Vojnar B, Belfort M, Sutton CD, Keil C, Bedei I, Kalmus G, et al.Blood pressure optimization during fetoscopic repair of open spinaldysraphism: insights from advanced hemodynamic monitoring. J ClinMed. 202;14(22):8055.

20. Copp AJ, Greene ND. Defining a PARticular pathway of neural tubeclosure. Dev Cell. 2010;18:1-2.

21. Ortiz-Ruiz ME, Matute-Labrador A, Ayala-Yáñez R. Uteroinhibidoresactuales para el manejo de parto pretérmino. An Med (Mex).2010;55:85-91.

22. Boat A, Mahmoud M, Michelfelder EC, Lin E, Ngamprasertwong P,Schnell B, et al. Supplementing desflurane with intravenous anesthesiareduces fetal cardíac dysfunction during open fetal surgery. PaediatrAnaesth. 2010;20:748-756.

23. Rychik J, Tian Z, Cohen MS, et al. Acute cardiovascular effects of fetalsurgery in the human. Circulation. 2004;110:1549-1556.

24. Rychik J, Cohen D, Tran KM, Ewing SG, Cohen D, Howell LJ, etal. The role of echocardiography in the intraoperative managementof the fetus undergoing myelomeningocele repair. Fetal Diagn Ther.2015;37:172-178.

25. Vasco M. Anesthesia for fetal surgery. Rev Colomb Anestesiol.2012;40:268-272.

26. Missant C, Van Schoubroeck D, Deprest J, Devlieger R, Teunkens A,Van de Velde M. Remifentanil for foetal immobilisation and maternalsedation during endoscopic treatment of twin-to-twin transfusion. ActaAnaesthesiol Belg. 2004;55:239-244.