Autor: |
Anh, Nguyen Duy, Hung, Ho Sy, Sim, Nguyen Thi, Ha, Nguyen Thi Thu, Nguyen, Duc Lam, Bac, Nguyen Duy, Van Tong, Hoang, Ville, Yves, Thuong, Phan Thi Huyen |
Předmět: |
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Zdroj: |
International Journal of Women's Health; Apr2022, Vol. 14, p555-563, 9p |
Abstrakt: |
We did not record any complications intra-operation and post-operation, including: co-twin demise, bleeding in the amniotic cavity, PPROM within 24 hours, maternal infection, anesthetic complications, or maternal blood loss requiring transfusion. Firstly, because of the difference in gestational age of the surgical procedure, we performed surgery in the second trimester differently from some studies performed in the third trimester, increasing the risk of premature birth following the procedure. Keywords: laser ablation; selective fetal reduction; twin-twin transfusion syndrome; new fetal medicine center EN laser ablation selective fetal reduction twin-twin transfusion syndrome new fetal medicine center 555 563 9 05/11/22 20220401 NES 220401 Introduction Monochorionic diamniotic (MCDA) twins are high-risk pregnancies with many complications, the most frequent of which is twin-twin transfusion syndrome (TTTS), affecting approximately 15% of MCDA twins.[1],[2] TTTS is associated with up to 90% neonatal mortality and neurological complications in 20% of surviving co-twin if left untreated.1-3 With the purpose of improved outcomes, various treatment modalities have been developed, including amnioreduction, septostomy, selective fetal reduction, and fetoscopic laser surgery (FLS).[2],4-6 Among them, FLS coagulates the placental vascular anastomoses, prevents blood transfusion between the two fetuses, and saves both twins' lives. The surgery was performed in a separate operation room for fetal surgery. [Extracted from the article] |
Databáze: |
Complementary Index |
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