The importance of maintaining an optimal hemodynamic state during minimally invasive fetal surgery

Minimally invasive fetal surgery has become an accepted treatment option for several fetal life-threatening congenital malformations [1]. Fetoscopic surgery is mainly performed in the presence of congenital diaphragmatic hernia, neural tube defects, twin-to-twin transfusion syndrome, and cardiac malformations [2]. Prenatal repair of myelomeningocele reduces the need for shunting and improves motor outcomes [3]. In order not to compromise maternal and fetal health, a goal-directed therapy is mandatory.

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