+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Novel Application of Laparoscopic Ultrasound for Fetoscopic Laser Ablation in Twin-Twin Transfusion Syndrome with Complete Anterior Placenta



Novel Application of Laparoscopic Ultrasound for Fetoscopic Laser Ablation in Twin-Twin Transfusion Syndrome with Complete Anterior Placenta



Fetal Diagnosis and Therapy 41(1): 71-75



Fetoscopic laser coagulation of the placental communicating vessels has become the standard treatment for monochorionic/diamniotic twin pregnancies complicated by severe twin-twin transfusion syndrome. Fetoscopic trocar placement can be performed with transabdominal ultrasound guidance with a posterior placenta and most anterior placentas that have a safe avascular window for entry. However, trocar insertion is challenging in cases of a complete anterior placenta without an avascular window. Current techniques to deal with this situation include mini-laparotomy with exteriorization to allow for dorsal entry, percutaneous lateral entry under transabdominal ultrasound/Doppler guidance, and laparoscopic assisted access with direct visualization of trocar entry. We describe a modified technique of laparoscopic assisted fetoscopic trocar placement using a laparoscopic ultrasound probe, which allows for precise, real-time guidance of trocar placement.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 058429500

Download citation: RISBibTeXText

PMID: 26555815

DOI: 10.1159/000439526


Related references

Isolated Ascites in a Monochorionic Twin after Fetoscopic Laser Ablation Is Not Necessarily Secondary to Recurrence or Anaemia: Bowel Complications in Twin-to-Twin Transfusion Syndrome after Fetoscopic Laser Ablation. Fetal Diagnosis and Therapy 2018: 1-10, 2018

Fetoscopic Nd:YAG Laser Coagulation for Twin-Twin Transfusion Syndrome in Cases of Anterior Placenta. Journal of the American Association of Gynecologic Laparoscopists 3(4, Suppl.): S9, 1996

Alternative technique for fetoscopic NDYAG laser coagulation in case of twin-twin transfusion syndrome with anterior placenta. American Journal of Obstetrics & Gynecology 176(1 Part 2): S86, 1997

Analysis of clinical outcome and impact factors of twin-to-twin transfusion syndrome with anterior placenta treated by fetoscopic laser photocoagulation. Zhonghua Fu Chan Ke Za Zhi 50(5): 329-333, 2015

Comparison between laparoscopically-assisted and standard fetoscopic laser ablation in patients with anterior placentation and twin-twin transfusion syndrome (Ttts). American Journal of Obstetrics and Gynecology 210(1): S107-S108, 2014

Comparison between laparoscopically assisted and standard fetoscopic laser ablation in patients with anterior and posterior placentation in twin-twin transfusion syndrome: a single center study. Prenatal Diagnosis 35(4): 376-381, 2016

Fetal Survival Immediate after Fetoscopic Laser Ablation in Twin to Twin Transfusion Syndrome. Journal of Korean Medical Science 34(3): E20-E20, 2019

Stage-related outcome after fetoscopic laser ablation in twin-to-twin transfusion syndrome. Fetal Diagnosis and Therapy 36(4): 287-292, 2015

Intestinal complications after antenatal fetoscopic laser ablation in twin-to-twin transfusion syndrome. Journal of Pediatric Surgery 45(1): E5-E8, 2010

Fetoscopic laser ablation of placental vessels in severe previable twin-twin transfusion syndrome. American Journal Of Obstetrics & Gynecology. 172(4 Part 1): 1202-1211, 1995

Risk factors associated with preterm delivery after fetoscopic laser ablation for twin-twin transfusion syndrome. Ultrasound in Obstetrics and Gynecology 43(1): 48-53, 2014

Selective fetoscopic laser ablation in 100 consecutive pregnancies with severe twin-twin transfusion syndrome. Australian and New Zealand Journal of Obstetrics and Gynaecology 49(1): 22-27, 2009

Fetoscopic laser ablation of the placental anastomoses in twin-twin transfusion syndrome using the “Solomon technique. 2013

Fetoscopic laser ablation of placental anastomoses in twin-twin transfusion syndrome using 'Solomon technique'. Ultrasound in Obstetrics and Gynecology 42(4): 434-439, 2014

Outcome after fetoscopic selective laser ablation of placental anastomoses vs equatorial laser dichorionization for the treatment of twin-to-twin transfusion syndrome. American Journal of Obstetrics and Gynecology 209(3): 234.E1-8, 2013