Pediatric surgery

Pediatric surgeons in Dallas

We work to deliver the the safest, most effective surgical outcome for you and your baby.

At Fetal Care Center, we take a multidisciplinary approach to fetal surgery, giving you unique access to specialists from numerous areas of medicine. This method enables us to create and administer a comprehensive care plan that meets your needs.

Fetal conditions we treat

Our team surgically treats numerous prenatal diagnoses, including:

• Amniotic band syndrome (ABS)
• Amnioinfusion for BOO and BRA
• Aortic stenosis
• Bladder outlet obstruction (BOO)
• Bronchogenic cyst
• Bronchopulmonary sequestration (BPS)
• Cervical teratoma
• Cervico-mediastinal teratoma
• Chorioangioma
• Complete heart block
• Congenital diaphragmatic hernia
• Congenital high airway obstruction
• Congenital lung diseases
• Conjoined twins
• Epignathus
• Fetal hydrothorax (FHT)
• Fetal renal abnormalities
• Gastroschisis
• Hybrid lesion
• Hypoplastic left heart syndrome
• Lower urinary tract obstruction
• Lymphangioma
• Micrognathia
• Monoamniotic twins
• Monochorionic twins
• Myelomeningocele
• Omphalocele
• Pericardial teratoma
• Posterior urethral valves
• Rh isoimmunization
• Sacrococcygeal teratoma
• Twin reversed arterial perfusion (TRAP)
• Twin-twin transfusion syndrome (TTTS)
• Unilateral bronchial atresia

Advanced pediatric surgical care

We use the latest technologies and techniques to provide high-quality surgical treatment for expectant mothers and their babies.

Types of surgeries we offer

To provide the best possible fetal surgical care, our surgeons perform various fetoscopic, open and ultrasound-guided surgical procedures, including:

• Amnioport surgery
• Aortic balloon valvuloplasty
• Bipolar cautery
• Devascularization
• Ex utero intrapartum treatment (EXIT)
• Fetal thoracoscopy
• Gastroschisis surgery
• Interstitial laser devascularization
• Intrauterine blood transfusion
• In utero surgery
• Laser ablation surgery
• Laser bronchotomy
• Laser laryngotomy
• Omphalocele surgery
• Pacemaker placement surgery
• Radiofrequency ablation
• Reconstructive surgery
• Selective fetoscopic laser photocoagulation
• Surgical fetoscopy
• Thoracentesis
• Thoraco-amniotic shunting
• Transthoracic retrograde intubation
• Vesico-amniotic shunting
• Vesicocentesis
• Vesicostomy placement surgery

Gastroschisis surgery

Gastroschisis is characterized by a hole in your baby’s abdominal wall that often occurs early in pregnancy. If left unresolved, it can result in damage to exposed organs, poor fetal growth and problems with feeding, digestion and absorption of nutrients into infancy.

Soon after the birth of your baby, we may elect to perform a surgical repair procedure to close this opening in the abdominal wall. If sizeable and involving multiple organs, we will incrementally repair the issue over an extended period. With severe gastroschisis, your baby might also need intravenous (IV) nutritional supplements, antibiotics to prevent infection and close monitoring of their body temperature. IV nutritional support is especially important because it can take time for your baby's GI tract to function through feedings alone.

Omphalocele surgery

An omphalocele is a rare condition where your baby's abdominal organs are exposed outside the abdomen. This is caused early in pregnancy, when the muscles of the abdominal cavity fail to develop properly.

If your baby is experiencing an omphalocele, surgery is performed once they are delivered. If the organs are only partially affected, we will return them to the abdomen and close the opening in one procedure. If the omphalocele is large, with multiple organs exposed, or there are associated respiratory problems, we may take a phased treatment approach. In the most severe situations, surgical repair is likely to occur between one and two years of age.