Advanced Specialization in

Fetal

Surgery

"The next step in specialization:

Fetal surgery at the highest level."






I am Dr. Rogelio Cruz Martínez, and fetal surgery is more than just my specialty—it has been my life’s mission. For over two decades, I have faced some of the most complex medical challenges, leading procedures that have redefined the possibilities of fetal medicine. From repairing spina bifida to performing laser fetoscopy for twin-to-twin transfusion syndrome, I have had the honor of contributing to advancements that are now global benchmarks in our field. Every step along this journey has reaffirmed my belief that excellence in medicine arises from deep knowledge, rigorous practice, and an unwavering passion for transforming lives.

This advanced specialization course is more than just a learning opportunity; it is a platform to shape the next generation of fetal surgeons. Here, you will not only acquire the most advanced technical skills but also develop the critical thinking and ethical commitment that this discipline demands. My goal is for each participant to emerge from this program not only as an expert in fetal surgery but also as a leader capable of making a tangible difference in their community and beyond.

The course structure has been meticulously designed to provide a comprehensive experience: a balance between theoretical knowledge and hands-on practice in state-of-the-art simulation operating rooms. You will work on real clinical cases, master advanced techniques, and learn how to integrate each decision into a holistic approach that prioritizes maternal-fetal well-being.

Now is the time to take a step forward, to embrace the responsibility of leading a constantly evolving field. I am here to guide you on this path, sharing with you not only my expertise but also the passion that has brought me here. Together, we will write the next chapter in fetal surgery.


Dr. Rogelio Cruz Martínez

Director of the Advanced Specialization Program

in Fetal Surgery


The responsibility of those of us who work in fetal medicine goes beyond addressing individual cases; it lies in building a new generation of specialists capable of facing the most complex challenges with skill, ethics, and humanity. Standardized training is not an option—it is an urgent necessity to ensure that every fetal surgeon possesses the skills required to save lives and improve their environment.

Dr. Rogelio Cruz


The Reality Behind Fetal Surgery


Fetal surgery is one of the most advanced and challenging fields in modern medicine. Each year, thousands of babies around the world face congenital conditions that threaten their lives even before they are born. However, the number of trained specialists capable of addressing these conditions remains alarmingly low, leaving many families without access to treatments that could make a difference.

The Challenge of Perinatal Mortality

The high incidence of fetal conditions, such as twin-to-twin transfusion syndrome, congenital diaphragmatic hernias, or spina bifida, requires precise diagnoses and highly specialized surgical interventions. These conditions, if not treated in time, can result in high perinatal mortality or lifelong consequences. This is where fetal medicine finds one of its greatest opportunities: intervention through advanced surgical techniques.


The Need for Trained Specialists


Despite technological and scientific advancements, few physicians have the necessary preparation to perform these procedures. Achieving excellence in fetal surgery requires not only technical knowledge but also standardized training that ensures solid competencies both in diagnostics and in performing these interventions.

What Will You Gain by Specializing in Fetal Surgery?

The Advanced Specialization Course in Fetal Surgery is designed to transform medical specialists into leaders capable of tackling the most complex challenges in fetal medicine. This program offers comprehensive training that combines advanced theoretical knowledge, supervised clinical practice, and access to cutting-edge technology, ensuring preparation at the highest level of excellence.

Certification Backed by Leading Institutions

This program provides certification endorsed by three of the most influential institutions in the medical field: Medicina Fetal México, ... This recognition not only validates your competencies but also strengthens your professional profile, positioning you as a leader in fetal surgery at both the national and international levels.


Comprehensive Theoretical-Practical Training

The program structure combines a solid theoretical foundation with intensive practical training. Throughout the modules, you will learn to diagnose and manage fetal conditions, from pulmonary malformations to complex neurosurgical cases. Each topic is addressed in depth through:

  • Real clinical cases.
  • Step-by-step procedure videos.
  • Interactive self-assessment tools to reinforce your learning.

Access to Advanced Simulation Operating Rooms

Uno de los pilares del programa es su acceso exclusivo a quirófanos de simulación de última generación, diseñados para recrear los retos quirúrgicos más complejos de la cirugía fetal. Aquí podrás practicar procedimientos como:

  • Fetoscopía láser.
  • Reparación de espina bífida.
  • Oclusión traqueal fetoscópica.

Estos entornos controlados ofrecen la posibilidad de perfeccionar tus habilidades sin riesgos para pacientes, ayudándote a alcanzar una curva de aprendizaje segura y efectiva.

Personalized Experience

With a limited enrollment of only 10 students per cohort, the course ensures a unique educational experience. You will receive:

  • Personalized attention from the teaching team.
  • Direct mentorship from Dr. Rogelio Cruz, one of the world’s leading authorities in fetal surgery. This close interaction ensures that each participant receives the necessary support to address specific challenges and maximize their potential throughout the program.

Specialization in Innovative Techniques

The course covers a wide range of advanced procedures that are essential for any fetal surgeon. Among them:

  • Laser fetoscopy for twin-to-twin transfusion syndrome.
  • Spina bifida repair using open and minimally invasive techniques.
  • Tracheal fetoscopic occlusion and other approaches for complex pulmonary conditions.

By the end of the course, you will have the skills required to implement these techniques in your daily practice, addressing fetal conditions with an innovative and precise approach.

International Networking Opportunities

The program not only prepares you technically but also connects you with a global network of fetal surgery specialists. Through academic collaborations and conferences, you will have the opportunity to:

  • Interact with international experts.
  • Access research projects.
  • Collaborate on high-impact cases.

This network will keep you up-to-date with the latest innovations and open doors to future professional opportunities on a global scale.

Acquired Competencies: A Comprehensive Profile in Fetal Surgery

By completing the Advanced Specialization Course in Fetal Surgery, participants will develop a robust set of competencies that will position them as leading specialists in this highly demanding field. This program not only provides technical knowledge but also fosters the critical and ethical capacity needed to address the most complex medical challenges.


Theoretical Competencies: Mastery of Diagnosis and Case Selection

Graduates will gain an in-depth understanding of each fetal condition, covering:

  • Accurate Diagnosis: Precise identification of conditions through detailed analysis of imaging, clinical data, and diagnostic parameters.
  • Proper Prognosis: Recognition of key factors influencing the progression of conditions, enabling effective surgical planning.
  • Pathophysiological Processes: Comprehensive understanding of fetal alterations that affect development, facilitating well-informed decision-making.
  • Candidate Selection: Mastery of clinical and ethical criteria to identify cases that will benefit from fetal surgical interventions.


Practical Competencies:

Mastery of Advanced Surgical Techniques


Students will have completed a rigorous learning curve that includes supervised practice in simulation operating rooms and real clinical cases, enabling them to precisely perform the following advanced surgical techniques:

  1. Placental Laser via Fetoscopy: A crucial technique for treating twin-to-twin transfusion syndrome.
  2. Cord Occlusion: A procedure to interrupt blood flow in complicated pregnancies.
  3. Intrauterine Blood Transfusion: Treatment of fetal anemia through intrauterine transfusion.
  4. Amnio-Drainage: Management of severe polyhydramnios to reduce maternal-fetal complications.
  5. Fetal Laryngoscopy: Evaluation and treatment of upper airway obstructions.
  6. Fetal Cystoscopy: A procedure to treat lower urinary tract obstructions.
  7. Spina Bifida Repair: Surgical approach to close defects in the fetal spinal column.
  8. Tracheal Occlusion via Fetoscopy: A technique for managing severe congenital diaphragmatic hernias.
  9. Tracheal Intubation: A procedure to ensure a safe airway in the fetus.
  10. Thoraco-Amniotic Shunting: Drainage of accumulated fluids in the thoracic cavity.
  11. Cardiac Valveoplasty: Intervention to correct severe valve stenosis in the fetus.
  12. Pulmonary Mass Laser Ablation: Minimally invasive treatment for pulmonary lesions.


Scientifi and Ethical Competencies

In addition to clinical skills, graduates will be equipped to:

  • Report and analyze surgical outcomes with a scientific approach.
  • Apply a rigorous ethical framework in medical decision-making.
  • Actively participate in research and academic publications.

Program Structure: Course Modules

A Comprehensive Journey Through Fetal Surgery


The Advanced Specialization Course in Fetal Surgery is designed around eight thematic modules that cover all key areas of this discipline. Each module combines a solid theoretical foundation with advanced practices in simulation operating rooms, ensuring an integrated and progressive training experience. Below, we present the modules that make this program unique.

01

Introduction to Fetal Surgery

This module lays the foundation for the course, covering:

  • History and evolution of fetal surgery.
  • Ethical and legal principles, including informed consent.
  • Initial diagnostic techniques such as advanced ultrasound evaluation.
  • Basic concepts of maternal and fetal management in the surgical context.
02

Pulmonary Fetal Surgery

Explore techniques and treatments related to fetal pulmonary conditions, such as:

  • Hydrothorax and congenital pulmonary malformations.
  • Laser ablation of pulmonary masses.
  • Pre- and post-surgical management protocols for respiratory anomalies.
03

Fetoscopy

Focused on minimally invasive management, this module includes:

  • Advanced laser techniques for twin-to-twin transfusion syndrome.
  • Management of TRAP sequence and selective growth restriction.
  • Handling of complications associated with fetoscopy.
04

Fetal Neurosurgery

This module addresses the repair of neural tube defects, including:

  • Diagnosis and treatment of spina bifida.
  • Open and fetoscopic techniques for diaphragm correction.
  • Evaluation and management of fetal neurosurgical complications.

Estructura del Programa: Módulos del Curso

Un recorrido completo por la cirugía fetal


05

Hernia Diafragmática Congénita

Profundiza en el diagnóstico y tratamiento de esta grave patología, incluyendo:

  • Técnicas de oclusión traqueal fetoscópica (FETO).
  • Evaluación de la función pulmonar prenatal.
  • Manejo quirúrgico neonatal de la hernia diafragmática.
06

Cirugía Fetal Urinaria

Se enfoca en el manejo quirúrgico de las patologías del sistema urinario fetal, tales como:

  • Tratamiento de obstrucción de tracto urinario inferior (LUTO).
  • Inserción de shunts vesico-amnióticos.
  • Protocolo de manejo posnatal para anomalías urinarias.
07

Cirugía Cardíaca Fetal

Centrada en el manejo mínimamente invasivo, este módulo incluye:

  • Técnicas avanzadas de láser placentario para el síndrome de transfusión feto-fetal.
  • Tratamiento de secuencia TRAP y restricción de crecimiento selectivo.
  • Manejo de complicaciones asociadas a la fetoscopía.
08

Tumores Fetales y Bandas Amnióticas

En este módulo se aborda la reparación de defectos del tubo neural, como:

  • Diagnóstico y tratamiento de la espina bífida.
  • Técnicas abiertas y fetoscópicas para corrección de disrafismos.
  • Evaluación y manejo de complicaciones neuroquirúrgicas fetales.


Fetal Medicine Institute Mexico: Where Leaders in Fetal Surgery Are Trained

The Advanced Specialization Course in Fetal Surgery takes place in the heart of Guadalajara, Jalisco, Mexico, at the renowned Fetal Medicine Institute. This facility combines state-of-the-art infrastructure, cutting-edge technology, and an environment designed to maximize learning and advanced clinical practice.

Prime Location

The institute is located at Calle de San Gabriel #333, Chapalita, C.P. 45040, one of the most accessible and emblematic areas of Guadalajara. This space offers a professional environment that inspires medical excellence, surrounded by services and amenities that enhance the participants' experience.

World-Class Infrastructure

  • Advanced Simulation Operating Rooms: Equipped with cutting-edge technology to practice highly complex procedures in a safe and controlled environment.
  • Conference Rooms: Modern and comfortable spaces for theoretical sessions, case discussions, and interactive analyses.
  • Hands-On Practice Areas: Designed for workshops and practical simulations under the direct supervision of experts.

Enroll Now

Take the first step toward excellence in fetal surgery. Complete the form to enroll or download the full program and discover everything this course has to offer to transform your career. Limited spots: only 10 participants per cohort!

(+52) 33 1082 4629

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