Laparoscopy‐assisted fetoscopy for laser surgery in twin–twin transfusion syndrome with anterior placentation

• DOI: 10.1002/uog.7495
• Publication Date: 2009-12-23T15:41:58Z
• Authors: R. Papanna; A. Johnson; R. T. Ivey; O. O. Olutoye; D. Cass; K. J. Moise
• Keywords: Fetoscopy; Placentation; Placenta Accreta

Abstract Objective To compare a laparoscopy‐assisted fetoscopic approach with an ultrasound‐directed percutaneous for laser photocoagulation of placental anastomoses in cases twin–twin transfusion syndrome (TTTS) anterior placentation. Method We performed retrospective review all that underwent ablation TTTS placenta at Texas Children's Fetal Center from November 2006 to 2008. The two cohorts were identified by chart based on the type approach: vs. ultrasound‐guided uterine entry fetoscopy. Operative and outcome data extracted groups compared using statistical methods, taking P < 0.05 as statistically significant. Results In 100 studied, 48 had placenta. Fifteen (31%) these fetoscopy (LAF) while was used remaining 33 (69%) cases. total procedure time longer LAF group than (96.1 ± 25 67.9 28 min; 0.01). There no difference rate preterm premature rupture membranes up 2 weeks 4 after surgery (7 15% 13 21%, group, respectively; = 0.7). gestational ages delivery similar: 30.3 4.5 29.2 4.6 ( 0.32). overall survival birth tending towards better laparoscopic (80 61%, 0.06). neonatal 59%, 0.045). Conclusion Laparoscopy‐assisted uterus is associated improved complete Copyright © 2009 ISUOG. Published John Wiley & Sons, Ltd.