Document Detail


Fetoscopic laser photocoagulation in the management of twin-twin transfusion syndrome: local experience from Hong Kong.
MedLine Citation:
PMID:  20683070     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
X Yang; T Y Leung; Warwick D Ngan Kee; M Chen; L W Chan; T K Lau
Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2010-08-04     Completed Date:  2010-11-22     Revised Date:  2011-10-03    
Medline Journal Info:
Nlm Unique ID:  9512509     Medline TA:  Hong Kong Med J     Country:  China    
Other Details:
Languages:  eng     Pagination:  275-81     Citation Subset:  IM    
Affiliation:
Prenatal Diagnostic Centre, Guangzhou Obstetrics and Neonatal Hospital, Guangzhou, Guangdong, PR China.
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MeSH Terms
Descriptor/Qualifier:
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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