PLUG procedure
Also written as: PLUG — Percutaneous fetoscopic endoluminal tracheal occlusion using a detachable balloon
Percutaneous fetoscopic endoluminal tracheal occlusion to promote lung growth in severe congenital diaphragmatic hernia.
Full Definition
The PLUG (Percutaneous fetoscopic endoluminal tracheal occlusion using a detachable balloon) procedure is a minimally invasive fetal surgical technique used to treat severe congenital diaphragmatic hernia. By temporarily occluding the fetal trachea with a detachable balloon, the procedure prevents normal lung fluid efflux, leading to lung expansion and accelerated pulmonary growth. The balloon is typically placed around 27-30 weeks gestation and removed at approximately 34 weeks or at delivery. This technique aims to improve lung development and reduce pulmonary hypoplasia associated with severe CDH.
Usage
Usage note: Always specify timing of balloon placement and planned removal in documentation.
In Context
- "The PLUG procedure was performed at 28 weeks with successful balloon placement confirmed by fetoscopy." — Operative report
- "Balloon removal prior to delivery completed the PLUG protocol for severe left-sided congenital diaphragmatic hernia." — Pre-delivery note