Document Detail


Cord occlusion followed by laser cord transection in monochorionic monoamniotic discordant twins.
MedLine Citation:
PMID:  21500298     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To compare the outcomes of a consecutive case series of monochorionic (MC) monoamniotic (MA) discordant twins treated with umbilical cord occlusion and transection, with those of a cohort of MC diamniotic (DA) twins treated with conventional cord occlusion. METHODS: 17 MC MA (12 spontaneous and 5 iatrogenic) treated with cord occlusion and transection and a control group of 72 MC DA discordant twins treated contemporarily with cord occlusion in a single centre. Duration of surgery, preterm delivery (PTD) or preterm premature rupture of membranes (PPROM) <32 weeks, intrauterine fetal demise (IUFD), perinatal outcome and neonatal survival were prospectively recorded in both groups. RESULTS: The duration of surgery was 28.5 (14.0-74.0) min vs. 24.0 (3.0-60.0) min in cord transection versus control group respectively (p = 0.24). There were no significant differences between cord transection and control groups in the rates of PPROM (35.3% vs. 20.8%, p = 0.22), PTD (41.2% vs.28.2%, p = 0.29), IUFD (0% vs. 2.8%, p = 1.0) and neonatal survival (76.5% vs. 80.6%, p = 1.0). Gestational age at delivery [median 35.0 (24.5-39.0) vs. 37.1 (26.2-41.0) weeks, p = 0.21] and fetal birth weight [2215 (800-3200)g vs. 2605 (588-3830)g, p = 0.51] were similar between study groups CONCLUSION: Cord occlusion and transection in MC MA discordant twins resulted in similar perinatal outcomes to those of MC DA discordant twins treated with cord occlusion. Copyright © 2010 ISUOG. Published by John Wiley & Sons, Ltd.
Authors:
Dan V Valsky; Maria-Jose Martinez-Serrano; Magdalena Sanz; Elisenda Eixarch; Emilia-Ruthy Acosta; Josep-Maria Martinez; Bienvenido Puerto; Eduard Gratacós
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-10
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  -     ISSN:  1469-0705     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-4-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2010 ISUOG. Published by John Wiley & Sons, Ltd.
Affiliation:
Department of Maternal-Fetal Medicine (Institut Clínic de Ginecologia, Obstetrícia i Neonatologia), Hospital Clinic-IDIBAPS, University of Barcelona, and Centro de Investigación Biomédica en Red en Enfermedades Raras (CIBER-ER), Spain; Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Centers, Mt. Scopus, Jerusalem, Israel.
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