Disentanglement of Discordant Monochorionic-Monoamniotic Twins in a Triplet Pregnancy: An Innovative Approach Utilizing Fetoscopic Laser Coagulation with Micro-Laparoscopic Scissor Dissection
| Autor: | Martin R. Chavez, Anthony M. Vintzileos, Nadia B. Kunzier, Diana Abenanti-Richmond, Baraa Allaf |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Embryology medicine.medical_specialty Polyhydramnios medicine.medical_treatment Gestational Age Umbilical cord Umbilical Cord Fetoscopy 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Triplet Pregnancy Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Monoamniotic twins Gynecology Fetus 030219 obstetrics & reproductive medicine Fetal Growth Retardation Laser Coagulation medicine.diagnostic_test business.industry Obstetrics Fetal surgery Pregnancy Outcome Obstetrics and Gynecology General Medicine medicine.disease Pregnancy Triplet Pregnancy Reduction Multifetal medicine.anatomical_structure embryonic structures Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Fetal diagnosis and therapy. 40(4) |
| ISSN: | 1421-9964 |
| Popis: | Triplet gestations are associated with high perinatal morbidity. Dichorionic-diamniotic triplet pregnancies with growth discordance, polyhydramnios and structural anomalies carry a significantly increased risk of fetal morbidity and mortality from the baseline risks of high-order multiple pregnancies. Intrauterine fetal death of one fetus of a monochorionic pregnancy may cause neurological injury to the surviving fetus. We present a case where an innovative technique was created combining use of the fetoscopic laser and miniature laparoscopic instruments to selectively reduce and disentangle the umbilical cord of the acranial growth-restricted fetus from the structurally normal fetus's umbilical cord in a dichorionic-diamniotic triplet pregnancy. |
| Databáze: | OpenAIRE |
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