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Minimally invasive perinatal and pediatric autopsy with laparoscopically assisted tissue sampling: feasibility and experience of the MinImAL procedure.
J C Hutchinson
1
,
2 ,
S C Shelmerdine
2
,
3 ,
C Lewis
4
,
5 ,
J Parmenter
1 ,
I C Simcock
2
,
3 ,
L Ward
1 ,
M T Ashworth
1 ,
L S Chitty
4
,
5 ,
O J Arthurs
2
,
3 ,
N J Sebire
1
,
2
Nov 2019
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Abstract
Less invasive autopsy techniques in cases of fetal or infant death have good acceptability among parents, but the published sampling adequacy in needle biopsy studies is generally poor. Minimally Invasive Autopsy with Laparoscopically assisted sampling (MinImAL) has the potential to increase the diagnostic yield of less invasive autopsy by improving the quality and quantity of tissue samples obtained, whilst permitting visualization, extraction and examination of internal organs through a small incision. The aim of this study was to present the findings of our experience with the MinImAL procedure in cases of fetal, neonatal and pediatric death.