KFSHRC: Middle East's First In-Utero Endoscopic Surgery Corrects Fetal Spinal Cord Defect

Spina bifida is a common congenital defect worldwide, affecting 1 in every 1,000 to 2,000 births.  - AFP
Spina bifida is a common congenital defect worldwide, affecting 1 in every 1,000 to 2,000 births. - AFP
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KFSHRC: Middle East's First In-Utero Endoscopic Surgery Corrects Fetal Spinal Cord Defect

Spina bifida is a common congenital defect worldwide, affecting 1 in every 1,000 to 2,000 births.  - AFP
Spina bifida is a common congenital defect worldwide, affecting 1 in every 1,000 to 2,000 births. - AFP

King Faisal Specialist Hospital & Research Center (KFSHRC) in Riyadh successfully performed life-changing surgery on a 26-week-old fetus correcting a congenital spinal defect. This pioneering procedure, the first of its kind in the Middle East, was carried out using fetal endoscopic surgery, providing the family with newfound hope and relief, according to SPA. The early intervention not only aims to enhance the baby's future health and development but also reduces the likelihood of complex surgeries after birth. The mother, who has shown remarkable resilience and strength, has been discharged in good health and will continue her pregnancy under careful medical supervision.
The medical team performed the intrauterine procedure to keep the fetus in the womb for the remainder of the pregnancy, enhancing its chances of healthy development. The operation involved the use of a fetal endoscope, creating three small incisions in the uterus, each no more than 2 millimeters, at the site of the fetus's back. The fetus was monitored using ultrasound throughout the surgery, and the congenital defect was successfully repaired, ensuring the spinal cord is now fully protected.
Commenting on this success, Dr. Saud Alshanafey, the lead surgeon and Director of the Fetal Diagnosis and Therapy Program, stated, "This achievement reflects significant medical advancements in fetal surgery and highlights KFSHRC's commitment to providing the highest standards of healthcare to improve the quality of life for fetuses and their families in the Kingdom and beyond." He explained that the traditional approach for spina bifida involves performing surgery on the child after birth to prevent infections in the nervous system. However, this method may not completely prevent neurological complications arising from the exposure of the spinal cord during pregnancy.
Dr. Saud Alshanafey pointed out that the novelty of this procedure lies in repairing the congenital defect using a minimally invasive fetal endoscope through incisions no larger than 2 millimeters, avoiding the need to open the uterus, which positively impacts the health of the mother and the pregnancy.
Spina bifida is a common congenital defect worldwide, affecting 1 in every 1,000 to 2,000 births. It results in the exposure of the spinal cord to amniotic fluid, affecting the nerves of the lower limbs, bladder, and lower digestive system, potentially accompanied by hydrocephalus, leading to movement disorders, neurological dysfunctions, and urinary issues.
Spina bifida occurs when the spine and spinal cord do not form properly in the fetus due to the incomplete closure of the neural tube, which is responsible for developing the fetal brain, spinal cord, and associated tissues during the early weeks of pregnancy.
It is noteworthy that King Faisal Specialist Hospital & Research Centre has been ranked first in the Middle East and Africa and 20th globally, in the list of the world's top 250 Academic Medical Centres for the second consecutive year and recognized as the most valuable healthcare brand in the Kingdom and the Middle East, according to the 2024 Brand Finance rankings. Additionally, in the same year, it was ranked among the world's best 250 hospitals by Newsweek magazine.



Europe's Oldest Lake Settlement Uncovered in Albania

A drone view shows archaeologists diving in the lake of Ohrid to uncover objects, in the village of Lin, Albania, July 10, 2025. REUTERS/Fatos Bytyci
A drone view shows archaeologists diving in the lake of Ohrid to uncover objects, in the village of Lin, Albania, July 10, 2025. REUTERS/Fatos Bytyci
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Europe's Oldest Lake Settlement Uncovered in Albania

A drone view shows archaeologists diving in the lake of Ohrid to uncover objects, in the village of Lin, Albania, July 10, 2025. REUTERS/Fatos Bytyci
A drone view shows archaeologists diving in the lake of Ohrid to uncover objects, in the village of Lin, Albania, July 10, 2025. REUTERS/Fatos Bytyci

Archaeologists working on the shores of Ohrid Lake in Albania are convinced they have uncovered the oldest human settlement built on a European lake, finding evidence of an organized hunting and farming community living up to 8,000 years ago. The team, from Switzerland and Albania, spends hours each day about three meters (9.8 feet) underwater, painstakingly retrieving wooden stilts that supported houses.

The are also collecting bones of domesticated and wild animals, copper objects and ceramics, featuring detailed carvings.

Albert Hafner, from the University of Bern, said similar settlements have been found in Alpine and Mediterranean regions, but the settlements in the village of Lin are half a millennium older, dating back between 6,000 and 8,000 years.

"Because it is under water, the organic material is well-preserved and this allows us to find out what these people have been eating, what they have been planting," Hafner said.

Multiple studies show that Lake Ohrid, shared by North Macedonia and Albania, is the oldest lake in Europe, at over one million years.

The age of the findings is determined through radiocarbon dating and dendrochronology, which measures annual growth rings in trees. More than one thousand wood samples have been collected from the site, which may have hosted several hundred people.

It is believed to cover around six hectares, but so far, only about 1% has been excavated after six years of work.

Hafner said findings show that people who lived on the lake helped to spread agriculture and livestock to other parts of Europe.

"They were still doing hunting and collecting things but the stable income for the nutrition was coming from the agriculture," he said.

Albanian archaeologist Adrian Anastasi said it could take decades to fully explore the area.

"(By) the way they had lived, eaten, hunted, fished and by the way the architecture was used to build their settlement we can say they were very smart for that time," Anastasi said.