| Fetoscopic laser photocoagulation in the management of twin-twin transfusion syndrome: local experience from Hong Kong. | |
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MedLine Citation:
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PMID: 20683070 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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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Authors:
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X Yang; T Y Leung; Warwick D Ngan Kee; M Chen; L W Chan; T K Lau |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine Volume: 16 ISSN: 1024-2708 ISO Abbreviation: Hong Kong Med J Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-04 Completed Date: 2010-11-22 Revised Date: 2011-10-03 |
Medline Journal Info:
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Nlm Unique ID: 9512509 Medline TA: Hong Kong Med J Country: China |
Other Details:
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Languages: eng Pagination: 275-81 Citation Subset: IM |
Affiliation:
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Prenatal Diagnostic Centre, Guangzhou Obstetrics and Neonatal Hospital, Guangzhou, Guangdong, PR China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Fetofetal Transfusion / surgery* Fetoscopy / adverse effects, methods* Gestational Age Hong Kong Hospitals, University Humans Infant, Newborn Laser Coagulation / adverse effects, methods* Postoperative Complications Pregnancy Pregnancy Outcome Retrospective Studies Survival Rate Twins, Monozygotic Uterine Hemorrhage / etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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