| Septostomy with amniodrainage in the treatment of twin-to-twin transfusion syndrome: a 16-case report. | |
| | |
MedLine Citation:
|
PMID: 17072630 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To report the treatment results of 16 monochorionic and diamniotic gestations cases, which had complications due to the twin-to-twin transfusion syndrome (TTTS), the neonatal and other possible complications of the septostomy associated to the amniodrainage. METHOD: Based on ultrasonographic findings, 16 pregnant women were diagnosed with the twin-to-twin transfusion syndrome (TTTS). These cases were divided in two groups: one of them included the fetuses without hydrops and the second included the "recipient" fetuses with hydrops. The therapy measures included septostomy with or without amniodrainage. The following parameters were evaluated: gestational age at the time the septostomy was performed, volume of drained amniotic fluid, gestational age at delivery, birth weight, postnatal evolution, and procedure complications. RESULTS: The average gestational age for this procedure was of 23.6 weeks (from 14 weeks and 1 day to 33 weeks). The gestational age for the septostomy until the delivery was of 8.18 weeks (from 1.0 to 21.3 weeks). The survival rate in the group without hydrops was of 68.7%, while in the second group it was of 25%. Some of the complications were as follows: two cases of premature membrane rupture and one case of preterm labor. CONCLUSION: Septostomy with amniodrainage, when performed on the initial stages and on earlier gestational ages has good perinatal results. |
| | |
Authors:
|
Maurício Saito; Ana Letícia Siqueira Pontes; Francisco Augusto Porto Filho; Francisco Lázaro Pereira Sousa; Milton Saito; Edward Araujo Júnior; Hélio Antonio Guimarães Filho; Luciano Marcondes Machado Nardozza; Antonio Fernandes Moron |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2006-10-28 |
Journal Detail:
|
Title: Archives of gynecology and obstetrics Volume: 275 ISSN: 0932-0067 ISO Abbreviation: Arch. Gynecol. Obstet. Publication Date: 2007 May |
Date Detail:
|
Created Date: 2007-03-22 Completed Date: 2007-11-08 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8710213 Medline TA: Arch Gynecol Obstet Country: Germany |
Other Details:
|
Languages: eng Pagination: 341-5 Citation Subset: IM |
Affiliation:
|
Conceptus, Fetal Medicine Unit of Sao Paulo, São Paulo, Brazil. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Amnion
/
surgery* Amniotic Fluid* Drainage* Female Fetal Membranes, Premature Rupture / etiology Fetofetal Transfusion / mortality, therapy* Gestational Age Humans Hydrops Fetalis / therapy Infant, Newborn Obstetric Labor, Premature / etiology Pregnancy Survival Rate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Variations of the melanocortin-1 receptor and the glutathione-S transferase T1 and M1 genes in cutan...
Next Document: CO(2) laser treatment of laryngeal stenoses after reconstructive laryngectomies with cricohyoidopexy...