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Laser therapy for twin‐to‐twin transfusion syndrome (TTTS)
Author(s) -
Chalouhi G. E.,
Essaoui M.,
Stirnemann J.,
Quibel T.,
Deloison B.,
Salomon L.,
Ville Y.
Publication year - 2011
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.2803
Subject(s) - polyhydramnios , oligohydramnios , medicine , fetoscopy , twin twin transfusion syndrome , twin to twin transfusion syndrome , laser coagulation , monochorionic twins , obstetrics , laser surgery , anastomosis , laser therapy , pregnancy , surgery , prenatal diagnosis , fetus , laser , genetics , physics , visual acuity , optics , biology
Monochorionic twins are subjected to specific complications which originate in either imbalance or abnormality of the single placenta serving two twins including twin‐to‐twin transfusion syndrome. The diagnosis is well established in overt clinical forms with the association of polyuric polyhydramnios and oliguric oligohydramnios. The best treatment of cases presenting before 26 weeks of gestion is fetoscopic laser ablation of the intertwin anastomoses on the chorionic plate. Although subjected to subtle variations, the core technique follows robust guidelines which could help understanding and acquiring the required skills and experience to perform this procedure. However appropriate and tailored hands‐on training and appropriate perinatal set‐up are critical not only for surgical management but also for the follow‐up and management of related complications. Copyright © 2011 John Wiley & Sons, Ltd.