January 2023
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1 Read
American Journal of Obstetrics and Gynecology
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January 2023
·
1 Read
American Journal of Obstetrics and Gynecology
January 2023
·
1 Read
American Journal of Obstetrics and Gynecology
December 2022
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14 Reads
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2 Citations
Journal of Perinatology
Objective: To describe the perinatal and neonatal outcomes of fetal laser ablation (FLA) for the treatment of twin-twin transfusion syndrome (TTTS) in our single center institution. Study design: Retrospective study of 76 treated pregnant women. Procedural complications, perinatal and neonatal outcomes analyzed. Differences in outcomes between two procedural techniques, selective and Solomon, compared. Results: FLA occurred at median gestational age (GA) of 20.8 weeks (IQR 18.1-22.9) with low incidence of procedural complications (5.3%). High survival rate with delivery of at least one neonate (96%) [95% CI: 88.9-99.2%]; 73.7% [95% CI: 62.3-83.1%] were twins. Median GA at birth was 33.1 weeks (IQR 28.0-35.0). Neonatal mortality and morbidities were 9.4% and 48.3% of cases respectively, and associated with lower GA. Solomon cases had comparatively higher median GA, and lower incidences of neonatal morbidities. Conclusion: Our small single center study showed favorable outcomes for using the Solomon technique in the treatment of TTTS.
... Solomon's technique (Ling et al., 2023) is an FLA technique that enables the complete separation of the foetal circulation in monozygotic twins with TTTS. Cauterisation of the visible anastomoses is performed in this technique, followed by laser cauterisation from one edge of the placenta to the other and the vascular equator (Spruijt et al., 2020). ...
December 2022
Journal of Perinatology