Article: Fetoscopic laser photocoagulation in the management of twin-twin transfusion syndrome: local experience from Hong Kong.
Hong Kong medical journal = Xianggang yi xue za zhi
2010 Volume 16, Issue 4, Page(s) 275–281
Abstract: ... laser coagulation for twin-twin transfusion syndrome.: Design: Retrospective study.: Setting: A university ... teaching hospital in Hong Kong.: Patients: Thirty consecutive cases of fetoscopic laser coagulation of placental ... anastomoses for twin-twin transfusion syndrome performed in a single centre.: Main outcome measures ...
| Abstract | Objective: To review the perinatal outcome of monochorionic twin pregnancies treated by fetoscopic laser coagulation for twin-twin transfusion syndrome. Design: Retrospective study. Setting: A university teaching hospital in Hong Kong. Patients: Thirty consecutive cases of fetoscopic laser coagulation of placental anastomoses for twin-twin transfusion syndrome performed in a single centre. Main outcome measures: Operative complications and perinatal survival rates. Results: The median gestational age at initial presentation, laser photocoagulation, and delivery were 22 (range, 16-27) weeks, 23 (18-28) weeks, and 32 (21-37) weeks, respectively. To improve the visualisation, in three cases amnio-exchange was undertaken; the procedure was abandoned in two due to poor visualisation. The overall fetal survival rate, the double infant survival rate, and survival rate for at least one twin were 72% (43/60), 60% (18/30), and 83% (25/30), respectively. The most common peri-operative complication was bleeding from the uterine wall into the amniotic cavity, which affected three (10%) patients. Conclusions: Our results of fetoscopic laser surgery for twin-twin transfusion syndrome were similar to those in specialised centres in other countries. |
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| MeSH term(s) | Female ; Fetofetal Transfusion/surgery ; Fetoscopy/adverse effects ; Fetoscopy/methods ; Gestational Age ; Hong Kong ; Hospitals, University ; Humans ; Infant, Newborn ; Laser Coagulation/adverse effects ; Laser Coagulation/methods ; Postoperative Complications ; Pregnancy ; Pregnancy Outcome ; Retrospective Studies ; Survival Rate ; Twins, Monozygotic ; Uterine Hemorrhage/etiology | |||||
| Language | English | |||||
| Publishing date | 2010-08 | |||||
| Publishing country | China | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 1239255-8 | |||||
| ISSN | 1024-2708 | |||||
| ISSN | 1024-2708 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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