Abstract | PURPOSE: METHODS: Prospective study of eight cases diagnosed with TTTS evaluated in our service from january 2001 to june 2005. Through percutaneous introduction of a 2,0mm diameter fetoscope in the uterine cavity, placental surface vessels where directly visualized. Those identified as responsible for the transfusion were laser coagulated. The procedure combines ultrasonography and fetoscopy, in a so-called sonoendoscopic technique (FETENDO). RESULTS: Among the eight pregnancies evaluated, five cases were submitted to the procedure (10 fetuses). All fetuses survived for at least five weeks after surgery. A total of eight fetuses were born alive and five survived the neonatal period. In a 18 months follow-up after birth, all five are still alive and well and their mean age is now 10,6 months. The total survival rate was 50% and in three pregnancies, at least one fetus survived. CONCLUSIONS:
Laser fetoscopy is actually the "gold-standard" treatment of TTTS. Nevertheless is a sophisticated technique that depends of proper training. Our service is the first in our country to offer this therapeutic technique. Our success rate is comparable with the international literature.
|
Authors | Denise Araújo Lapa Pedreira, Gregório Lorenzo Acácio, Carolina Leite Drummond, Rita de Cássia Sanchez e Oliveira, Alice D'Agostini Deustch, Wladimir Guimarães Taborda |
Journal | Acta cirurgica brasileira
(Acta Cir Bras)
2005 Nov-Dec
Vol. 20
Issue 6
Pg. 478-81
ISSN: 0102-8650 [Print] Brazil |
PMID | 16302086
(Publication Type: Journal Article, Twin Study)
|
Topics |
- Female
- Fetofetal Transfusion
(diagnostic imaging, surgery)
- Fetoscopy
(methods)
- Follow-Up Studies
- Gestational Age
- Humans
- Laser Coagulation
(methods)
- Placenta
(blood supply)
- Pregnancy
- Prospective Studies
- Severity of Illness Index
- Ultrasonography
|