Is there any risk in test tube infant ascites transplantation?
1. Introduction to ascites transplantation
Test tube baby ascites transplantation is a surgical treatment method that takes out ascites and injects it into test tube baby. Common ascites mainly include fetal urine, chorioedema, etc. The operation is usually performed before birth. Ascites are removed by puncture technology, and then the abdominal cavity of the fetus is filled with fetal sedative drugs and collagen glue. Ascites transplantation aims to reduce or eliminate the ascites accumulated in the uterus of test tube infants, and improve the survival rate and the chance of good growth of infants.
Ascites transplantation is generally carried out between 22 and 32 weeks of pregnancy. At this time, fetal ascites accumulates more, and the operation is carried out through fetal abdominal puncture technology, which has certain risks.
2. Risk of ascites transplantation
2.1 Puncture injury risk: ascites transplantation needs to be punctured into the abdominal cavity of the fetus. Improper operation may cause puncture injury to fetal organs, such as damage to fetal spleen, liver, etc., and even cause serious complications such as placental separation.
2.2 Infection risk: the risk of introducing external bacteria into the abdominal cavity of the fetus or causing amniotic fluid infection is increased. Infection may lead to the risk of premature delivery, fetal growth disorders and even death.
2.3 Fetal complications: There are many reasons for ascites, and some of them may be caused by fetal organ development defects. In the ascites transplantation operation, only the ascites were removed without changing the development of the fetus itself. Therefore, the treatment effect for fetal complications is limited and needs comprehensive consideration.
3. Indications and contraindications of ascites transplantation
3.1 Indications: ascites transplantation is mainly applicable to pregnancy complications caused by ascites, such as fetal dyspnea, dysplasia, etc. For patients with asymptomatic or mild ascites, surgery should be carefully considered.
3.2 Contraindications: ascites transplantation should be postponed or prohibited under the following circumstances: fetal development abnormalities, such as chromosome abnormalities, severe organ abnormalities, etc; Pregnancy complicated with severe infection, bleeding or other serious complications.
4. Clinical application of ascites transplantation
4.1 Case analysis: ten cases of test tube infant ascites transplantation were carried out in a hospital. After long-term follow-up, 7 infants survived, 2 developed normally, and 1 had slight growth delay 6 months after the operation.
4.2 Hospital technical conditions: The above cases show that ascites transplantation can improve the survival rate and development quality of test tube babies to a certain extent. However, ascites transplantation requires certain technical conditions and experience. The hospital should provide professional equipment and an experienced team of doctors to ensure the success rate of surgery and the safety of patients.
4.3 Safety assessment: before considering ascites transplantation, doctors need to conduct a comprehensive assessment, including fetal development, ascites causes, family genetic history, etc. During the operation, it is necessary to closely observe the fetal heartbeat, ascites discharge, complications, etc.
Summary
Although test tube infant ascites transplantation is an effective treatment, it also has some risks. Puncture injury, infection and fetal complications are common complications. Therefore, before considering the operation of ascites transplantation, it is necessary to fully evaluate the patient's condition, select the appropriate operation time, and operate in a hospital with good technical conditions and experienced doctors to ensure the safety and effectiveness of the operation.
