Surgeons in Abu Dhabi perform breakthrough surgery on Colombian fetus with spina bifida

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Although the procedure is not new, it was a first for the region. (Burjeel Medical City)
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Updated 16 June 2023
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Surgeons in Abu Dhabi perform breakthrough surgery on Colombian fetus with spina bifida

  • Team from Burjeel Medical City provide life-changing treatment free of charge
  • Hospital gave ‘a ray of hope for our baby,’ mother Valentina Rodriguez says

DUBAI: The number of reported cases of spina bifida in the Gulf region and around the world is on the increase, but many doctors believe this is due to increased awareness and better diagnostic methods, rather than a spike in the condition.

Spina bifida is a birth defect that occurs when bones forming the spine do not develop properly, leading to the spinal cord being left exposed to the amniotic fluid — the liquid that surrounds the unborn child in the womb — and resulting in a permanent disability.

No one wants to be told their baby is going to have anything other than a perfect life, but as with all things in the medical world, knowledge is power.

The increase in early diagnosis means there is a greater chance to improve the child’s life through prenatal surgery, and that is precisely what happened in Abu Dhabi this month.

Although the procedure is not new, it was a first for the region.

The operation was led by Dr. Mandeep Singh, a consultant in maternal and fetal medicine at Burjeel Medical City hospital.

He explained that before the breakthrough in prenatal surgery there were other procedures to treat the condition but they were more risky.

“We had to wait for the babies to be born. And then once the babies are born, the spinal cord needs to be closed within the first 24 hours, otherwise, there is the risk of infection, and that infection could go to the brain and cause meningitis, which is a very serious condition,” he said.

An initial study to see if an in utero procedure was possible was conducted in 2003.

“After 12 years of research, results showed that if you repair the defect in the womb, there is two times more power in the lower limbs and 1.5 times more likely to have reduced need for a shunt,” Singh said.

Spina bifida can be caused by many things. Although rare, it can be genetic but most of the time there are multiple factors preventing the spinal cord from closing, including a deficiency of folic acid (vitamin B), which is important for a healthy pregnancy.

If left untreated, the condition can have life-altering effects on the child.

“When the spinal cord is left exposed to the amniotic fluid, it causes damage. Most of the time, the centers that are controlled by the lower part of the spinal cord, or bowel and bladder, are severely damaged.

“That means these babies may not be able to walk or run. They may in the initial part of their life, but as the upper part of the body gets heavier, they are unable to walk.

“And most of them are wheelchair-bound. Or if they can walk, it is only with support. So it’s a pretty debilitating disorder if not treated,” Singh said.

He and his team successfully performed spinal correction surgery on the unborn child of a Colombian couple.

For Jason Gutierrez and Valentina Rodriguez being told their baby had spina bifida was life-changing, not least because it meant they had to fly half way round the world, leaving everything they knew behind so she could undergo the surgery.

“When I found out my baby had spina bifida, I felt really sad,” Rodriguez said. “I am a nurse and I’ve seen moms with babies with disabilities and never thought this could be a possibility for me.”

In Colombia, couples expecting babies with spina bifida have only two options: wait for the child to be born and then operate, or terminate the pregnancy.

“As time went by and no real solution came about, by miracle we heard about a center in Abu Dhabi which was able to perform the surgery immediately and at no cost to us,” Rodriguez said.

“We decided to resign from our jobs, leave our families and home and travel all the way here for our baby.”

It was not an easy decision to make, but Rodriguez said her family gave her their full support.

“My family was really sad, but on the other hand they were really happy that we were given this opportunity and a ray of hope for our baby. In Colombia, there was no solution.

“I was diagnosed during the 20th week and it could have been spotted since the 11th week, so I suspect if I stayed in Colombia, no action would have been taken and the baby would have disabilities and complications,” she said.

According to Singh, between two and four babies per 10,000 are diagnosed with the condition and the numbers are rising. While there is no clear reason for the increase, the doctor thinks it is down to more diagnoses, especially in the GCC region.

“Medical facilities are increasing so the statistics are increasing, because more people are being aware of the condition and getting the diagnosis they need,” he said.

Prenatal surgery was not without risk, however, to the baby and the mother, Singh said.

“Since this operation requires a cut to be taken from the womb, the biggest risk is scar rupture. Because this is a scar on the upper part of the womb, if she were to go into labor, there is a higher chance that the scar will give way. If the scar gives way in the pregnancy, it’s not only dangerous for the mother, but the baby will die or will be born with severe brain damage,” he said.

But Rodriguez was not thinking about the risk to herself before undergoing the surgery, which took place just two days after she arrived in Abu Dhabi.

“I wanted everything to go okay for the baby,” she said. “My preparation was more mental and spiritual. The center helped with visa arrangements, the flight tickets and the cost of the surgery was covered as well. Everything from food to accommodation has been provided. Otherwise there was no way we could afford it.”

A team of 10 people, including four surgeons, were involved in the procedure. While Singh is an expert in maternal–fetal medicine, the repair to the baby’s spine was carried out by a neurosurgeon.

Singh said there were many hospitals in East Asia, Africa, North America and Europe that could perform the procedure but Burjeel Medical City was a center for the Gulf region.

“There is a vast geographical area where this procedure is not done. Our center now provides solutions for parents who are seeking help in the region,” he said.

“We promise to make our results available to every prospective parent who comes here, because that’s the best way of giving confidence to prospective parents. And in medicine, there is nothing to hide. The outcomes have to be open and transparent for people to trust you.”

Rodriguez is expected to have her baby in Abu Dhabi in August. She does not know how long she and her husband will stay in the country but said they would remain as long as it took to ensure her baby was healthy and safe.


Iran president says will not halt nuclear activity ‘under any circumstances’

Updated 58 min 14 sec ago
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Iran president says will not halt nuclear activity ‘under any circumstances’

  • “We are ready to discuss and cooperate to build confidence in the field of peaceful nuclear activities,” said Pezeshkian

TEHRAN: Iran’s President Masoud Pezeshkian said Saturday his country will not halt nuclear activity “under any circumstances” amid ongoing fighting with Israel which hit nuclear sites.

“We are ready to discuss and cooperate to build confidence in the field of peaceful nuclear activities, however, we do not agree to reduce nuclear activities to zero under any circumstances,” said Pezeshkian during a phone call with French President Emmanuel Macron, according to the official IRNA news agency.


Cyprus arrests British man on suspicion of terror-related plot, police say

Updated 11 min 42 sec ago
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Cyprus arrests British man on suspicion of terror-related plot, police say

  • The man appeared before a district court on Saturday
  • Israeli Foreign Minister Gideon Saar said in a post on X that an Iranian attempt to attack Israeli citizens in Cyprus was thwarted

NICOSIA: Police in Cyprus have arrested a British man on suspicion of terror-related offenses and espionage, authorities said on Saturday, with Israel accusing Iran’s Revolutionary Guards of trying to attack Israeli citizens on the island.

The man appeared before a district court on Saturday, which ordered an eight-day detention pending inquiries.

Police gave no further details, citing national security.

Israeli Foreign Minister Gideon Saar said in a post on X that an Iranian attempt to attack Israeli citizens in Cyprus was thwarted, “thanks to the activity of the Cypriot security authorities, in cooperation with Israeli security services.”

He gave no more details about the nature of the attack, and there was no immediate comment from Iranian authorities.

A spokesperson for Britain’s Foreign Office confirmed the individual’s nationality, saying it was in contact with local authorities.

“We are in contact (with) the authorities in Cyprus regarding the arrest of a British man,” the spokesperson told Reuters.

Several Cypriot news outlets reported the suspect was a man of Azeri ethnic descent and had been arrested in the Zakaki suburb of the coastal city of Limassol. The suspect was thought to have had a British RAF military base in nearby Akrotiri under surveillance, as well as Cyprus’s own Andreas Papandreou Air Base in the western region of Paphos since mid-April, Cyprus’s ANT1 news portal reported.

Cyprus lies very close to the Middle East and has in recent days been used as a transit point for people either leaving or going to the region amid the conflict between regional foes Israel and Iran.

Terror-related offenses on the island are very rare.


IAEA says centrifuge workshop at Iran’s Isfahan nuclear site hit

Updated 21 June 2025
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IAEA says centrifuge workshop at Iran’s Isfahan nuclear site hit

  • “There was no nuclear material at this site and therefore the attack on it will have no radiological consequences,” Grossi said

VIENNA: The UN nuclear agency confirmed on Saturday that a centrifuge manufacturing workshop at Iran’s Isfahan nuclear site had been hit, in the latest strike amid Israel’s bombing campaign.


“A centrifuge manufacturing workshop has been hit in Esfahan, the third such facility that has been targeted in Israel’s attacks on Iran’s nuclear-related sites over the past week,” the Vienna-based International Atomic Energy Agency (IAEA) said in a statement quoting its chief Rafael Grossi.

“We know this facility well. There was no nuclear material at this site and therefore the attack on it will have no radiological consequences,” Grossi was quoted as saying.


Turkiye says Israel leading Middle East to ‘total disaster’

Updated 21 June 2025
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Turkiye says Israel leading Middle East to ‘total disaster’

  • “Israel is now leading the region to the brink of total disaster,” Fidan said
  • He called for an end to the “unlimited aggression” against Iran

ISATANBUL: Turkish Foreign Minister Hakan Fidan on Saturday accused Israel of leading the Middle East toward “total disaster” by attacking Iran on June 13.

“Israel is now leading the region to the brink of total disaster by attacking Iran, our neighbor,” he told a summit of the Organization of Islamic Cooperation (OIC) in Istanbul.

“There is no Palestinian, Lebanese, Syrian, Yemeni or Iranian problem but there is clearly an Israeli problem,” Fidan said.

He called for an end to the “unlimited aggression” against Iran.

“We must prevent the situation from deteriorating into a spiral of violence that would further jeopardize regional and global security,” he added.

Speaking after Fidan, Turkish President Recep Tayyip Erdogan accused Western leaders of providing “unconditional support” to Israel.

He said Turkiye would not allow borders in the Middle East to be redrawn “in blood.”

“It is vital for us to show more solidarity to end Israel’s banditry — not only in Palestine but also in Syria, in Lebanon and in Iran,” he told the OIC’s 57 member countries.

The OIC, founded in 1969, says its mission is to “safeguard and protect the interests of the Muslim world in the spirit of promoting international peace and harmony.”


Iran says more than 400 killed since start of war with Israel

Updated 21 June 2025
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Iran says more than 400 killed since start of war with Israel

  • Attacks have claimed the lives of over 400 defenseless Iranians and left 3,056 others wounded

TEHRAN: Israeli strikes on Iran have killed more than 400 people since they began last week, Iran’s health ministry said in an updated toll on Saturday, as fighting raged between the two foes.

“As of this morning, Israeli attacks have claimed the lives of over 400 defenseless Iranians and left 3,056 others wounded by missiles and drones,” health ministry spokesman Hossein Kermanpour said in a post on X.