{"doi":"10.1136/bmj.m1624","title":"Prenatal regenerative fetoscopic interventions for congenital anomalies","abstract":"<jats:title>Abstract</jats:title><jats:p>Fetal intervention has progressed in the past two decades from experimental proof-of-concept to practice-adopted, life saving interventions in human fetuses with congenital anomalies. This progress is informed by advances in innovative research, prenatal diagnosis, and fetal surgical techniques. Invasive open hysterotomy, associated with notable maternal-fetal risks, is steadily replaced by less invasive fetoscopic alternatives. A better understanding of the natural history and pathophysiology of congenital diseases has advanced the prenatal regenerative paradigm. By altering the natural course of disease through regrowth or redevelopment of malformed fetal organs, prenatal regenerative medicine has transformed maternal-fetal care. This review discusses the uses of regenerative medicine in the prenatal diagnosis and management of three congenital diseases: congenital diaphragmatic hernia, lower urinary tract obstruction, and spina bifida.</jats:p>","journal":"BMJ","year":2020,"id":671767,"datarank":0.5333022092234121,"base_score":3.5553480614894135,"endowment":3.5553480614894135,"self_citation_contribution":0.5333022092234121,"citation_network_contribution":0.0,"self_endowment_contribution":0.5333022092234121,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":34,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":236024,"name":"Rodrigo Ruano","orcid":"0000-0002-3642-5858","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Prenatal regenerative fetoscopic interventions for congenital anomalies","abstract":"<jats:title>Abstract</jats:title><jats:p>Fetal intervention has progressed in the past two decades from experimental proof-of-concept to practice-adopted, life saving interventions in human fetuses with congenital anomalies. This progress is informed by advances in innovative research, prenatal diagnosis, and fetal surgical techniques. Invasive open hysterotomy, associated with notable maternal-fetal risks, is steadily replaced by less invasive fetoscopic alternatives. A better understanding of the natural history and pathophysiology of congenital diseases has advanced the prenatal regenerative paradigm. By altering the natural course of disease through regrowth or redevelopment of malformed fetal organs, prenatal regenerative medicine has transformed maternal-fetal care. This review discusses the uses of regenerative medicine in the prenatal diagnosis and management of three congenital diseases: congenital diaphragmatic hernia, lower urinary tract obstruction, and spina bifida.</jats:p>","is_dataset_classified":null,"base_score":3.5553480614894135,"endowment":3.5553480614894135,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"32611543","pmcid":null,"openalex_id":"https://openalex.org/W3039566596","authors":[],"funders":[],"total_grants":0,"fwci":5.483,"citation_percentile":0.96929794,"influential_citations":0,"citation_trend":[{"year":2020,"count":1},{"year":2021,"count":2},{"year":2022,"count":21},{"year":2023,"count":4},{"year":2024,"count":3},{"year":2025,"count":3}],"oa_status":"closed","license":"http://www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy","oa_locations":[{"url":"http://data.bmj.org/tdm/10.1136/bmj.m1624","host_type":"publisher"},{"url":"https://syndication.highwire.org/content/doi/10.1136/bmj.m1624","host_type":"publisher"},{"url":"https://doi.org/10.1136/bmj.m1624","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/32611543","host_type":"repository"},{"url":"http://www.bmj.com/cgi/content/short/370/jul01_6/m1624","host_type":"repository"}],"fields_of_study":["Congenital Diaphragmatic Hernia Studies","Congenital Anomalies and Fetal Surgery","Hernia repair and management"],"mesh_terms":["Animals","Fetal Diseases","Fetoscopy","Humans","Prenatal Diagnosis","Urethral Stricture","Spinal Dysraphism","Patient Selection","History, 20th Century","History, 21st Century","Hernias, Diaphragmatic, Congenital"],"keywords":["Hysterotomy","Congenital diaphragmatic hernia","Medicine","Fetoscopy","Fetal surgery","Spina bifida","Prenatal diagnosis","Fetus","Natural history","Intensive care medicine","Regenerative medicine","Urinary tract obstruction","Pregnancy","Surgery","Urinary system","Internal medicine","In utero","Stem cell"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-16T04:24:58.336159Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}