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[Surgical indications in severe abnormalities with reference to the expected quality of life].

An explanation of the term "quality of life" must consider the view of the person concerned, the view of the therapist and society. Patients with MMC who have the prerequisites for a satisfactory quality of life are often unable to realize it in practice. Prenatal diagnostics has not yet provided new indications for operation. The malformation in the seven last admitted children with MMC was not known before the 23rd week of pregnancy. A selection after birth is considered problematical.