scholarly journals OC09: Selectivity of laser coagulation of chorionic plate anastomoses in twin-twin transfusion syndrome-a correlation with fetal and perinatal outcome

2006 ◽  
Vol 28 (4) ◽  
pp. 361-361
Author(s):  
J. Stirnemann ◽  
B. Nasr ◽  
E. Quarello ◽  
M. Nassar ◽  
Y. Ville
2008 ◽  
Vol 198 (1) ◽  
pp. 62.e1-62.e6 ◽  
Author(s):  
Julien J. Stirnemann ◽  
Bernard Nasr ◽  
Edwin Quarello ◽  
Lisa Ortqvist ◽  
Malek Nassar ◽  
...  

2004 ◽  
Vol 191 (6) ◽  
pp. S131
Author(s):  
Ilinca Gussi ◽  
Jacky Nizard ◽  
Lydia Malagrida ◽  
Massami Yamamoto ◽  
Romaine Robyr ◽  
...  

2015 ◽  
Vol 38 (4) ◽  
pp. 241-253 ◽  
Author(s):  
Joost Akkermans ◽  
Suzanne H.P. Peeters ◽  
Frans J. Klumper ◽  
Enrico Lopriore ◽  
Johanna M. Middeldorp ◽  
...  

Objective: The aim of this study was to assess the perinatal outcome of pregnancies with twin-twin transfusion syndrome (TTTS) treated with laser therapy over the past 25 years, and in relation to different techniques used in this time period. Methods: A systematic review of studies reporting on perinatal outcome according to the Meta-Analysis of Observational Studies in Epidemiology (MOOSE) guidelines was conducted. The MEDLINE, Embase and Cochrane Library databases were systematically searched. Comparisons were made in respect to time period and laser technique and Quintero stages. Results: In total, 34 studies reporting on 3,868 monochorionic twin pregnancies were included. The mean survival of both twins increased from 35 to 65% (p = 0.012) and for at least one twin from 70 to 88% (p = 0.009) over the past 25 years. Mean gestational age at birth remained stable over the years at 32 weeks gestation. Also, we showed a significantly improved perinatal survival with the evolution of the laser technique from non-selective to selective, selective sequential and the Solomon technique (p = 0.010). Discussion: Since the introduction of laser therapy for TTTS more than two decades ago, perinatal survival improved significantly. Improved outcome is probably associated with several factors, including evolution of the laser technique, learning curve effect, better referral and improved early neonatal care.


2006 ◽  
Vol 194 (3) ◽  
pp. 796-803 ◽  
Author(s):  
Romaine Robyr ◽  
Liesbeth Lewi ◽  
Laurent J. Salomon ◽  
Masami Yamamoto ◽  
Jean-Pierre Bernard ◽  
...  

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