scholarly journals VP43.09: Short‐term outcomes and factors of neonatal survival in Twin–twin transfusion syndrome after fetoscopic laser coagulation in a single centre

2020 ◽  
Vol 56 (S1) ◽  
pp. 246-246
Author(s):  
R. Kim ◽  
H. Won ◽  
M. Lee
Keyword(s):  
Laser Coagulation ◽  
Single Centre ◽  
Short Term ◽  
Fetoscopic Laser Coagulation

scholarly journals OC22.06: Short‐term cardiac follow‐up of survivors of Twin–twin transfusion syndrome treated with fetoscopic laser coagulation

2019 ◽  
Vol 54 (S1) ◽  
pp. 58-58
Author(s):  
M. Gijtenbeek ◽  
M.C. Haak ◽  
S. Eschbach ◽  
A.M. Middeldorp ◽  
F.J. Klumper ◽  
...  
Keyword(s):  
Laser Coagulation ◽  
Short Term ◽  
Fetoscopic Laser Coagulation

Safety of vitamin E-infused highwall liners for routine use in primary total hip arthroplasty: single centre, short-term follow-up of 1221 cases

2020 ◽  
pp. 112070002096964
Author(s):  
Kirill Gromov ◽  
Nanna H Sillesen ◽  
Thomas Kallemose ◽  
Henrik Husted ◽  
Henrik Malchau ◽  
...  
Keyword(s):  
Patient Safety ◽  
Vitamin E ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Single Centre ◽  
Short Term ◽  
Total Hip ◽  
Arthroplasty Registry ◽  
Primary Total Hip Arthroplasty

Background: Introduction of new implants should be monitored closely to capture any signs of compromising patient safety. Vitamin E infused highly-crosslinked polyethylene liners (VEPE) offer the potential for reduced wear. Highwall liners have been hypothesised to result in increased wear and potential liner fractures. The aim of this study was to determine the 3–7-year follow-up of highwall VEPE for primary total hip arthroplasty (THA), focusing on liner-related complications. Methods: We included 1221 consecutive THA operations from July 2010 to May 2014 with minimum follow-up of 3 (3.1–6.8) years Data collected included demographics, implant data, complications, reoperations, and deaths. Data were cross-referenced with the Danish Hip Arthroplasty Registry in order to ensure validity and completeness. Acetabular shell position was measured using Martell Hip Analysis Suite in a subgroup of 931 THAs. Results: Cumulative stem revision and shell revision at 3-year follow-up was 3.4% and 0.4% respectively. There were no revisions due to liner failure. Reason for revision included 11 dislocations, 15 soft-tissue revisions for infection, 44 stem revisions of which 34 were periprosthetic fractures and 13 shell revisions of which 6 were combined shell and stem revisions. Conclusion: Early follow-up of VEPE liners for primary THA have not shown any revisions associated with liner failure. Continued monitoring of new materials are necessary to capture any signs of compromised patient safety.

Demonstration of Placental Vascular Anatomy in Monochorionic Twin Gestations

2002 ◽  
Vol 5 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Monique E. De Paepe ◽  
Sarah Burke ◽  
Francois I. Luks ◽  
Halit Pinar ◽  
Don B. Singer
Keyword(s):  
Vascular Anatomy ◽  
Treatment Modalities ◽  
Laser Coagulation ◽  
Injection Technique ◽  
Invasive Treatment ◽  
Monochorionic Twin ◽  
Macroscopic Classification ◽  
Fetoscopic Laser Coagulation

Invasive treatment modalities for severe chronic twin-to-twin transfusion syndrome (TTTS), such as fetoscopic laser coagulation of communicating vessels, have revived the need for detailed studies of placental angioar-chitecture. We describe a practical placental vascular injection technique using alcohol-resistant tissue-staining dyes. Injection of color-coded gelatin-dye mixtures effectively delineated the intertwin vasculature, and allowed unequivocal macroscopic classification of vascular communications as artery-to-artery, vein-to-vein, or deep artery–to-vein anastomoses. The existence of deep artery–to-vein anastomoses was further confirmed by light microscopic demonstration of venous dye of one twin and arterial dye of the opposite twin within the same stem villus. Furthermore, the injection technique allowed determination of the caliber of the anastomoses, the direction of the artery-to-vein anastomoses, and the relative vascular territory of each twin. Documenting the vascular communications in monochorionic twin placentas with and without TTTS may enhance our understanding of the pathogenesis of chronic TTTS. Correlating the anastomotic patterns and location of the laser coagulation scars with post-ablation outcome will aid in the design of rational therapeutic methods for this often lethal condition.

scholarly journals Fetoscopic laser coagulation in 1020 pregnancies with twin-twin transfusion syndrome demonstrates improvement in double-twin survival rate

2017 ◽  
Vol 50 (6) ◽  
pp. 728-735 ◽  
Author(s):  
W. Diehl ◽  
A. Diemert ◽  
D. Grasso ◽  
S. Sehner ◽  
K. Wegscheider ◽  
...  
Keyword(s):  
Survival Rate ◽  
Laser Coagulation ◽  
Fetoscopic Laser Coagulation ◽  
Double Twin

scholarly journals Treatment of Intracranial Aneurysms with Flow Re-direction Endoluminal Device - A Single Centre Experience with Short-term Follow-up Results

2017 ◽  
Vol 12 (1) ◽  
pp. 11-19 ◽  
Author(s):  
Neeraj Ramesh Mahboobani ◽  
Wing Ho Chong ◽  
Samuel Siu Kei Lam ◽  
Jimmy Chi Wai Siu ◽  
Chong Boon Tan ◽  
...  
Keyword(s):  
Intracranial Aneurysms ◽  
Single Centre ◽  
Short Term ◽  
Single Centre Experience

Magnetic resonance imaging of the feto‐placentar unit after fetoscopic laser coagulation for twin‐to‐twin transfusion syndrome

2005 ◽  
Vol 46 (3) ◽  
pp. 328-330 ◽  
Author(s):  
T. A. G. M. Huisman ◽  
L. Lewi ◽  
R. Zimmermann ◽  
U. V. Willi ◽  
J. Deprest
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Mortality Rates ◽  
Laser Coagulation ◽  
Resonance Imaging ◽  
Fetal Magnetic Resonance Imaging ◽  
Imaging Tool ◽  
Fetoscopic Laser Coagulation ◽  
Twin Pregnancies ◽  
Oligohydramnios Sequence

Twin‐to‐twin transfusion syndrome (TTTS) is a severe complication in monochorionic twin pregnancies that results from a hemodynamical imbalance of placentar vascular anstomoses that connect the circulation of both fetuses. In TTTS, a poly/oligohydramnios sequence with high fetal morbidity and mortality rates occurs. Fetoscopic laser coagulation of the placentar anastomoses can limit or prevent fetal injury. The purpose of this report is to present and discuss fetal magnetic resonance imaging as a postoperative imaging tool after fetoscopic laser coagulation.

scholarly journals Fetoscopic laser coagulation of intertwin anastomoses reduces discordant placental autophagic activities in discordant twin growth

2015 ◽  
Vol 54 (5) ◽  
pp. 580-582 ◽  
Author(s):  
Yao-Lung Chang ◽  
Tzu-Hao Wang ◽  
Shuenn-Dyh Chang ◽  
An-Shine Chao ◽  
Peter C.C. Hsieh
Keyword(s):  
Laser Coagulation ◽  
Fetoscopic Laser Coagulation ◽  
Twin Growth ◽  
Discordant Twin

Perineal Wound Closure Using Biological Mesh Following Extralevator Abdominoperineal Excision

2018 ◽  
Vol 36 (4) ◽  
pp. 281-288 ◽  
Author(s):  
Naseer Baloch ◽  
Per J. Nilsson ◽  
Caroline Nordenvall ◽  
Mirna Abraham-Nordling
Keyword(s):  
Wound Closure ◽  
Perineal Wound ◽  
Abdominoperineal Excision ◽  
Biological Mesh ◽  
Single Centre ◽  
Short Term ◽  
Perineal Reconstruction ◽  
Primary Rectal Cancer ◽  
Different Types ◽  
Electronic Hospital

Aims: This study aimed to describe the short-term perineal healing rates in patients with perineal reconstruction using a biological mesh following extralevator abdominoperineal excision (elAPE). Methods: In a retrospective, descriptive single-centre cohort study, 88 consecutive patients treated with elAPE and perineal closure using a biological mesh between January 2011 and December 2015 were reviewed. All available data from electronic hospital records was collected. Patients were followed for 1 year following surgery and perineal wound status assessed at 3 months and at 1 year. Results: In total, 63 patients were male and all but 8 patients were treated for primary rectal cancer. All patients but 3 had received radiotherapy prior to surgery. Multivisceral excisions were performed in 19 patients. Omentoplasty was performed in 55 patients and 3 different types of meshes were used during the study period. At 3 months, 58 patients (66%) had a healed perineum. No association was detected between patient, tumour or perioperative characteristics and perineal wound status at 3 months. At 1 year, 4 patients were deceased and among the remaining 84, the perineal wound was healed in 77 patients (92%). Conclusion: The use of biological meshes in perineal reconstruction following elAPE is feasible and safe, and the perineal wound is healed in the majority of the patients within 3 months.

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