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Although it seems that the incidence of hydrocephalus and associated Chiari malformation may be lower in babies operated in utero compared to those operated on at birth, it has not been shown that the motor deficit improves and it seems that genito-urinary type deficits neurogenic bladder could be worse in babies operated in utero. In utero surgery also increases the risk of complications in the mother and fetus, with a high incidence of fetal prematurity. Intrauterine surgery is carried out in some centers in our country, but it must be evaluated very carefully before indicating it to a pregnant mother.
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I understand that improving over the years in the most natural way is what we would all like in the most balanced way possible. And thats how I like to apply it to my patients. According to experts in Proctology, the bad press that internal lateral sphinctertomy has in terms of posterior incontinence is absolutely false, as long as this technique is performed correctly, by expert hands, and the patient as a whole is assessed. To this day, the treatment par excellence in terms of dulcolan, healing and durability continues to be surgery sphincterotomy. The city of Buenaventura, Colombias main port, has more than 400,000 inhabitants. Since 2008, the MSF center has offered a comprehensive and varied range of care to populations excluded from the healthcare system general medicine consultations or specialists in sexual and reproductive health, mental health, nutrition programs, catch-up vaccinations.
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