scholarly journals VP22.04: 91 consecutive TTTS cases with selective technique

2020 ◽  
Vol 56 (S1) ◽  
pp. 149-149
Author(s):  
M. Yamamoto ◽  
D. Pedraza ◽  
J. Astudillo ◽  
H. Figueroa
Keyword(s):  
2015 ◽  
Vol 46 ◽  
pp. 158-158
Author(s):  
M. Yamamoto ◽  
B. Walker Labarca ◽  
J. Fleiderman ◽  
D. Pedraza ◽  
J. Astudillo

1980 ◽  
Vol 26 (7) ◽  
pp. 778-786 ◽  
Author(s):  
F. Pichinoty ◽  
M. Durand ◽  
M. Mandel

Ten of the 14 strains of Bacillus cereus studied were isolated from pasteurized soil samples by a new selective technique which consists of the use of anaerobic enrichment cultures in peptone medium containing 0.5% KNO3. The 19 strains of B. megaterium use the following 21 sources of carbon and energy: D-glucose, D-galactose, D-fructose, D-mannose, D-glucosamine, D-gluconate, D-ribose, sucrose, cellobiose, maltose, raffinose, D-mannitol, glycerol, glycerate, pyruvate, fumarate, trans-aconitate, DL-aspartate, asparagine, L-glutamate, and L-glutamine. The 14 strains of B. cereus use the following 11 compounds: D-glucose, D-fructose, D-mannose, D-glucosamine, D-ribose, maltose, trehalose, glycerol, acetate, pyruvate, and L-glutamine. The eight strains of B. cereus var. mycoides use the following nine compounds: D-glucose, salicin, D-ribose, cellobiose, maltose, trehalose, glycerol, acetate, and pyruvate. Numerical taxonomy based on 151 characters shows that the 41 strains form two distinct groups. Group A includes the 19 strains of B. magateriurn; group B includes the 14 strains of B. cereus and the 8 strains of B. cereus var. mycoides. The guanine + cytosine content of the DNA of each strain was determined. The following mean values were obtained: B. megaterium, 40.6% ± 0.8; B. cereus, 38% ± 0.9; B. cereus var. mycoides, 38.4% ± 1.1.


2016 ◽  
Vol 19 (3) ◽  
pp. 197-206 ◽  
Author(s):  
Rubén A. Quintero ◽  
Eftichia Kontopoulos ◽  
Ramen H. Chmait

Objective: Laser ablation of all placental vascular anastomoses is the optimal treatment for twin–twin transfusion syndrome (TTTS). However, two important controversies are apparent in the literature: (a) a gap between concept and performance, and (b) controversy regarding whether all the anastomoses can be identified endoscopically and whether blind lasering of healthy placenta is justified. The purpose of this article is: (a) to address the potential source of the gap between concept and performance by analyzing the fundamental steps needed to successfully accomplish the surgery, and (b) to discuss the resulting competency benchmarks reported with the different surgical techniques. Materials and Methods: Laser surgery for TTTS can be broken down into two fundamental steps: (1) endoscopic identification of the placental vascular anastomoses, (2) laser ablation of the anastomoses. The two steps are not synonymous: (a) regarding the endoscopic identification of the anastomoses, the non-selective technique is based upon lasering all vessels crossing the dividing membrane, whether anastomotic or not. The selective technique identifies and lasers only placental vascular anastomoses. The Solomon technique is based on the theory that not all anastomoses are endoscopically visible and thus involves lasering healthy areas of the placenta between lasered anastomoses, (b) regarding the actual laser ablation of the anastomoses, successful completion of the surgery (i.e., lasering all the anastomoses) can be measured by the rate of persistent or reverse TTTS (PRTTTS) and how often a selective technique can be achieved. Articles representing the different techniques are discussed. Results: The non-selective technique is associated with the lowest double survival rate (35%), compared with 60–75% of the Solomon or the Quintero selective techniques. The Solomon technique is associated with a 20% rate of residual patent placental vascular anastomoses, compared to 3.5–5% for the selective technique (p < .05). Both the Solomon and the selective technique are associated with a 1% risk of PRTTTS. Adequate placental assessment is highest with the selective technique (99%) compared with the Solomon (80%) or the ‘standard’ (60%) techniques (p < .05). A surgical performance index is proposed. Conclusion: The Quintero selective technique was associated with the highest rate of successful ablation and lowest rate of PRTTTS. The Solomon technique represents a historical backward movement in the identification of placental vascular anastomoses and is associated with higher rate of residual patent vascular communications. The reported outcomes of the Quintero selective technique do not lend support to the existence of invisible anastomoses or justify lasering healthy placental tissue.


2014 ◽  
Vol 20 (14) ◽  
pp. 4038-4046 ◽  
Author(s):  
Mostafa Taoufik ◽  
Kai C. Szeto ◽  
Nicolas Merle ◽  
Iker Del Rosal ◽  
Laurent Maron ◽  
...  

2016 ◽  
Vol 213 ◽  
pp. 2-10 ◽  
Author(s):  
M. Cobas ◽  
A.S. Danko ◽  
M. Pazos ◽  
M.A. Sanromán

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