Open access peer-reviewed Edited Volume

Fetal Surgery

Julio Elito Jr.

Federal University of Sao Paulo

Prof. Julio Elito Junior is an Associate Professor of the Department of Obstetrics of the Federal University of São Paulo. He made innovations in his field by publishing a predictive score for medical treatment in ectopic pregnancy and reference charts for twins. He is an author of numerous publications and often an invited speaker at congresses.


David Silva Pares

Federal University of Sao Paulo

Prof. David Silva Pares is an Adjunct Professor and Head of the Department of Obstetrics of the Federal University of São Paulo.


Open Procedure Percutaneous Procedure Fetal Therapy Fetoscopic Surgery Myelomeningocele Myeloschisis Sacrococcygeal Teratoma Congenital Lung Malformation Congenital Diaphragmatic Hernia Feto (Fetal Endoluminal Tracheal Occlusion) Fetal Cystoscopy Fetal Intervention

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About the book

Since the first fetal surgery, in 1980, this area has made great progress, moving from experimental procedures to well-established surgeries. Advances in prenatal diagnosis provided by ultrasound have made it safer to perform fetal intrauterine surgeries. Observing ethical precepts supported by scientific evidence, an extraordinary development was observed in this field. Fetal procedures can be performed by open surgery or fetoscopy and the team must be multidisciplinary. The main indications are: fetal-fetal transfusion syndrome, acardic fetus, congenital diaphragmatic hernia, spina bifida, lower urinary tract obstruction, sacrococcygeal teratoma, pulmonary congenital lesions and fetal cardiac interventions. Surgical procedures can range from placing shunts to highly complex surgeries. Open surgery, mainly to correct myelomeningocele, shows an increase in maternal morbidity due to hysterotomy. Advances in fetoscopy reduce maternal morbidity and in some procedures are the routes of choice such as: laser photocoagulation of vascular anastomoses in monochorionic twin pregnancies with STFF, placement of the endotracheal balloon in cases of congenital diaphragmatic hernia and fetal cystoscopy in cases of obstruction of the lower urinary tract. However, in cases of spina bifida there is still no consensus between open surgery or fetoscopy.

The purpose of this book is to present the main indications for fetal surgery, the surgical techniques, the risks of the procedures bringing to the reader the state-of-the-art in fetal surgery.

Publishing process

Book initiated and editor appointed

Date completed: April 13th 2021

Applications to edit the book are assessed and a suitable editor is selected, at which point the process begins.

Chapter proposals submitted and reviewed

Deadline for chapter proposals: May 11th 2021

Potential authors submit chapter proposals ready for review by the academic editor and our publishing review team.

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Approved chapters written in full and submitted

Deadline for full chapters: July 10th 2021

Once approved by the academic editor and publishing review team, chapters are written and submitted according to pre-agreed parameters

Full chapters peer reviewed

Review results due: September 28th 2021

Full chapter manuscripts are screened for plagiarism and undergo a Main Editor Peer Review. Results are sent to authors within 30 days of submission, with suggestions for rounds of revisions.

Book compiled, published and promoted

Expected publication date: November 27th 2021

All chapters are copy-checked and typesetted before being published. IntechOpen regularly submits its books to major databases for evaluation and coverage, including the Clarivate Analytics Book Citation Index in the Web of ScienceTM Core Collection. Other discipline-specific databases are also targeted, such as Web of Science's BIOSIS Previews.

About the editor

Julio Elito Jr.

Federal University of Sao Paulo

Prof. Julio Elito Junior PhD graduated in Medicine from Federal University of São Paulo (UNIFESP) - Brazil in1989. He obtained his Master in 1995 and his Doctorate in 1997 both from UNIFESP. He is a specialist in laparoscopy (Cleveland Clinic Foundation, 2000) and has a PhD in reproductive medicine (2008). Due to the relevance of his research he obtained the title of Associate Professor of the Department of Obstetrics of UNIFESP (2006). He has experience in the field of Medicine, with emphasis in Gynecology and Obstetrics, acting mainly in the following subjects: ectopic pregnancy, methotrexate, ultrasonography, beta-hCG, polymorphisms, serological markers and multiple pregnancy. He has published a predictive score for medical treatment in ectopic pregnancy and reference charts for twins. He has published 68 articles in international and national journals, is a reviewer in several national and international journals, and a speaker at a number of national and international congresses. He wrote the book 'Ectopic Pregnancy' (2010), was an editor of the books 'Multiple Pregnancy - New Challenges' (2019) and 'Non-Tubal Ectopic Pregnancy' (2020), as well as an author of numerous chapters in national and international books. He has been nominated several times as an honored Professor by his students at the Medical School of Federal University of São Paulo (UNIFESP).

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