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CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2023; 10(04): 146-152
DOI: 10.1055/s-0044-1779006
SFM Practice Guidelines

SFM Fetal Therapy Practice Guidelines: Fetoscopic Laser Photocoagulation in Monochorionic Twins

Vatsla Dadhwal
1   Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences (AIIMS), New Delhi, India
,
Krishnan Manikandan 
2   Department of Perinatology, Pondicherry Institute of Medical Science (PIMS), Pondicherry, India
3   The Fetal Clinic Pondicherry, Pondicherry, India
,
Anubhuti Rana
1   Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences (AIIMS), New Delhi, India
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Abstract

Fetoscopic laser coagulation is offered as a method of treatment for twin-to-twin transfusion syndrome or twin anemia polycythemia sequence. It involves laser ablation of intercommunicating superficial blood vessels on the surface of the placenta, under sono-endoscopic control. Preterm labor and preterm prelabor rupture of the membranes are known complications. The results depend on the expertise of the surgeon, location of the placenta, indication for treatment, severity of disease, and growth of babies. The chances of both babies surviving are around 65% and one baby surviving is 85%.

Keywords

laser - monochorionic twin - twin-to-twin transfusion syndrome


Publication History

Article published online:
29 January 2024

© 2024. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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