Past Events

Fetal Surgery: Current Concepts and Controversies

Aired on 11.20.2012
Fetal Surgery: Current Concepts and Controversies CME

Hosted by Akron Children’s Hospital and directed by The Children’s Hospital of Philadelphia, this full-day, interactive online course brought to you by GlobalCastMD will review the basics of fetal surgery and address current concepts and controversies. The broadcast will include presentations from leaders in the field followed by an opportunity for participants to join in the discussions.


This course will review the basics of fetal surgery as well as address current concepts and controversies. Directed by Drs Alan Flake and Mark Johnson, from the Children’s Hospital of Philadelphia (CHOP), this truly interactive world broadcast will have brief presentations from world leaders on the field followed by heated debates of controversial issues and will allow the viewers to join in the discussions and debates. 

Directors & Faculty


Todd Ponsky, MD

Todd Ponsky is currently Professor of Surgery at the University of Cincinnati and a pediatric surgeon at Cincinnati Children’s Hospital Medical Center and Akron Children’s Hospital. He is the Director of Clinical Growth and Transformation at Cincinnati Children’s Hospital. He attended medical school at Case Western Reserve University in Cleveland, Ohio from 1995-1999,Residency in General Surgery at The George Washington University in Washington, DC from 1999-2005, Pediatric Surgery Fellowship at Children's National Medical Center in Washington, DC from 2005-2007,and an Advanced Minimally Invasive Pediatric Surgery Fellowship at The Rocky Mountain Hospital for Children in Denver, CO from 2007-2008. Dr. Ponsky was the first to perform and report single port surgery in children and modernized the methods of the laparoscopic pediatric hernia repair. He has published over 125 manuscripts, edited 3 textbooks, and authored over 30 book chapters. He has directed over 50 national/international courses and has given over 200 visiting lectureships. He is the Associate Editor for The Journal of Pediatric Surgery, and serves on three editorial boards. He is the immediate past president of the International Pediatric Endosurgery Group (IPEG) and holds, or has held, leadership positions in the American College of Surgeons (ACS), the American Pediatric Surgical Association (APSA), the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) and the International Society for Pediatric Innovation (iSPI). He has won numerous faculty teaching awards. He is involved in both outcomes and animal research with a focus on inguinal hernia physiology, surgical telementoring, endoscopic repair techniques for pure esophageal atresia, and innovations in education. He founded GlobalcastMD and Stay Current in Surgery, both of which serve to democratize and internationalize medical knowledge and modernize the way we teach and learn surgery.

Alan W. Flake, MD

Dr. Flake is an attending surgeon and director of the General Surgery Fellowship Program atThe Children's Hospital of Philadelphia, where he holds the Ruth M. and Tristram C. Colket, Jr.Endowed Chair in Pediatric Surgery. He serves as director of CHOP's Center for Fetal Researchand is professor of Surgery and Obstetrics and Gynecology at the Perelman School of Medicineat the University of Pennsylvania

N. Scott Adzick, MD

Dr. Adzick is the surgeon-in-chief and director of the Center for Fetal Diagnosis and Treatment at The Children’s Hospital of Philadelphia (CHOP). He is the C. Everett Koop Professor of Pediatric Surgery at CHOP and professor of Pediatrics, Obstetrics and Gynecology at the Perelman School of Medicine at the University of Pennsylvania Philadelphia, Pennsylvania

Additional Faculty

Kelly Bennett, MD

Assistant Professor in the Division of Maternal Fetal Medicine; Director of Perinatal Research & Perinatal Director of the Vanderbilt Fetal Center at the Monroe Carroll Junior Children's Hospital. Nashville, Tennessee

Timothy Crombleholme, MD

The Ponzio Chair and Surgeon-in-Chief at Children’s Hospital Colorado and Professor and Vice Chair of the Department of Surgery at the University of Colorado School of Medicine.

Jan Deprest, MD

Professor of Obstetrics & GYN, University Hospitals Gasthuisberg. Leuven, Belgium.

Diana Farmer, MD

Chair of the Department of Surgery at UC Davis Health Systems, Sacramento, California.

Eduardo Gratacos, MD, PhD

Head and Professor of Maternal Fetal Medicine; Fetal Medicine Research Center/Barcelona Hospital. Barcelona, Spain

Mike Harrison, MD

Fetal and Pediatric Surgeon, UCSF Medical Center, San Francisco, California

Shinjiro Hirose, MD

Pediatric Surgeon and Assistant Professor of Surgery at UCSF Medical Center, San Francisco, California.

Rodger Hudgins, MD

Director, Division of Neurosurgery Director, NeuroDevelopmental Science Center Akron Children's Hospital. Akron, Ohio

Anthony Johnson, DO

Professor of Obstetrics, Gynecology & Reproductive Sciences Professor of Pediatric Surgery McGovern Medical School at The University of Texas Health Science Center at Houston Co-Director, The Fetal Center at Children’s Memorial Hermann Hospital

Mark Johnson, MD

Professor of Surgery, Obstetrics & Gynecology & Pediatric, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Hanmin Lee, MD

Professor of Surgery, Ob-Gyn & Reproductive Health Systems; Chief, Division of Pediatric Surgery; Director, Fetal Treatment Center; Surgeon in Chief, UCSF Benioff Children's Hospital, San Francisco, California

Melissa Mancuso, MD

Co Director, Fetal Treatment Center, Akron Children's Hospital, Akron, Ohio.

Julie Moldenhauer, MD

Medical Director of the Garbose Family Special Delivery Unit; Assistant Prof. of Clinical Ob & GYN in Surgeyr, Perelman School of Medicine at the University of Pennsylvania. Philadelphia, Pennsylvania.

Martin Mueli, MD

Pediatric Surgery Clinic of the University Children's Hospital Zurich, Switzerlandnbsp

Yinka Olutoye, MD, PhD

Co director of the Texas Children's Fetal Center, Texas Children’s Hospital Pavilion for Women, Houston, Texas.

Lewis Spitz, MD

Professor Spitz currently is the Emeritus Nuffield Professor of Paediatric Surgery, Honorary Consultant Paediatric Surgeon at Great Ormond Street Hospital. Professor Spitz has served in many leadership capacities.London, England

Yves Ville, MD

Professor & Chairman of the Department of OB & Fetal Medicine @ Necker-Enfants-Malades Hospital, Paris, France.


9:00 am - 9:05 am
9:05 am - 9:25 am
Open Fetal Surgery: Where do we stand; Overview of Rationale, Indications and Outcomes.  
9:25 am - 10:55 am
Panel Discussion
Can lesions treated with open fetal surgery be treated with less invasive approaches.Are there lesion treated by shunting or fetoscopy that might be better treated with open fetal surgery. Has maternal steroids eliminated the need for open fetal surgery for CCAM? Is open fetal surgery exclusively a US enterprise? How to make this technology available to the rest of the world. 

10:55 am - 11:05 am
11:05 am - 11:35 am
Current status of open fetal surgery for myelomeningocele (MMC)
11:35 am - 12:35 pm
Panel Discussion
-What did we learn from the MOMS Trial? Where do we go from here: ------Guidelines for development of fetal therapy centers.-Minimally invasive MMC repair?

12:35 pm - 12:45 pm
12:45 pm - 1:05 pm
Fetoscopic tracheal occlusion for congenital diaphragmatic hernia: Current status. 
1:05 pm - 2:00 pm
Panel Discussion
-  Fetal tracheal occlusion (TO) for congenital diaphragmatic hernia: Are   randomized clinical trials needed??-  Are the current Eurofetus Trials adequate? - Fetal TO: patient selection, patient counseling and who should be doing it? - Other methods of TO?

2:00 pm - 2:10 pm
2:10 pm - 2:30 pm
Selective laser photocoagulation for Twin to Twin Transfusion Syndrome (TTTS)
2:30 pm - 3:00 pm
Panel Discussion
 - Long term outcome issues: neurodevelopmental/cognitive outcomes and risk for cardiac abnormalities. - Treatment of stage one disease.

3:00 pm - 3:20 pm
Selective intrauterine growth restriction (sIUGR) in monochorionic, diamniotic twins
3:20 pm - 4:00 pm
Panel Discussion
What criteria should be used for offering selective termination in Type 2 and Type sIUGR?Bipolar, RFA or cord ligation: what is the best approach to selective termination for sIUGR?

4:00 pm - 4:30 pm

Topics Covered


  • Open fetal surgery for myelomeningocele (MMC)
  • Selective laser photocoagulation for twin-twin transfusion syndrome (TTTS)
  • Selective intrauterine growth restriction (sIUGR) in monochorionic, diamniotic twins


  1. Recognize how to better decide the need for open fetal surgery vs. less invasive approaches including fetoscopy as they pertain to various pathologies.

  2. Recognize benefits and drawbacks of minimally invasive approaches to treatment of CCAM and MMC and better understand how to apply data from the MOMS trial.

  3. Describe the outcomes of treated and untreated TTTS.

  4. Review guidelines for selective termination for sIUGR 

Disclosures and Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas, Elements & Policies of the Ohio State Medical Association through the joint sponsorship of Children’s Hospital Medical Center of Akron and Globalcastmd. Children’s Hospital Medical Center of Akron is accredited by the OSMA to provide continuing medical education for physicians.

The Children’s Hospital Medical Center of Akron designates this live activity for a maximum of 5.5 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in this activity.