Ural School of Fetal Surgery: Stages of Development and Modern Opportunities

The article describes the history of the formation and development of the Ural School of Fetal Surgery. Currently, fetal surgeons of the Ural Research Institute for Maternal and Child Health have mastered a wide range of fetal surgeries: various interventions in monochorionic multiple pregnancy, anemia, fetal hydrops, obstructive uropathies, diaphragmatic hernia, oval window obstruction, intrauterine hydrocephalus, spinal hernias, fetal and placental tumors, and others. The range of fetal pathologies subject to intrauterine correction is expanding every year, new technologies are being developed and improved. Today, more than 15 fetal techniques have been introduced into the practice of the institute. Every year, the institute trains specialists from Russia and foreign countries, develops original domestic models of instruments and consumables for fetal surgery. The effectiveness of fetal surgical interventions is high — from 66 to 96%.

1. Modern fetal surgery—a historical review of the happenings that shaped modern fetal surgery and its practices Lauren L. Evans, Michael R. HarrisonTransl Pediatr 2021;10(5):1401-1417. https://doi.org/10.21037/tp-20-114

2. Kosovtsova N.V., Markova T.V., Pospelova Ya.Yu., Yuminova A.V., Aytov A.E. Experience in Laser Coagulation of Placentary Anastomoses in Selective Foetal Growth Retardation. Doctor.Ru. 2022; 21(5): 43–46. (in Russian). https://doi.org/10.31550/1727-2378-2022-21-5-43-46

3. Bashmakova N.V., Sufianov A.A., Kosovcova N.V., Iakimov I.A., Sufianov R.A., Markova T.V., Musin A.R.. Endoscopic intrauterine ventriculocysternostomy with hydrocephalus in the fetus at the 28th week of pregnancy. Pediatria n.a. G.N. Speransky. 2020; 99 (1): 24-31. (in Russ.)

4. Kosovtsova N.V., Fyodorova N.A. Evaluation of nephroamnial bypass efficiency in a fetus with obstructive uropathies. Russian Journal of Woman and Child Health. 2025;8(2):94–99 (in Russ.). https://doi.org/10.32364/2618-8430-2025-8-2-1

5. Lopez M., Kozlov Yu.A., Kosovtsova N.V., Rasputin A.A., Kovalkov K.A., Baradieva P.G., Ochirov Ch.B., Cheremnov V.N., Kapuller V.M. Fetoscopic correction of myelomeningocele. Pediatria n.a. G.N. Speransky. 2020; 99 (4): 201–209. (in Russ.). https://doi.org/10.24110/0031-403X-2020-99-4-201-209