Fetoscopic management of complicated monochorionic twins

Ramen Chmait; Eftichia Kontopoulos; Rubén Quintero

doi:10.1097/GRF.0b013e3181beda76

Fetoscopic management of complicated monochorionic twins

Ramen Chmait, Eftichia Kontopoulos, Rubén Quintero

Obstetrics & Gynecology

Research output: Contribution to journal › Review article › peer-review

6 Scopus citations

Abstract

Operative fetoscopy is a surgical approach to the in utero treatment of fetal or placental abnormalities. The approach is on the basis of combined use of ultrasound and endoscopy and minimally invasive access into the womb. Operative fetoscopy is associated with significantly less risk of preterm birth, neonatal morbidity, and maternal morbidity as compared with open fetal surgery. A wide variety of fetal conditions have been surgically managed via operative fetoscopy, particularly complicated monochorionic twin gestations. The aim of this chapter is to review the current status and future direction of operative fetoscopy for the treatment of complicated monochorionic twin pregnancies.

Original language	English (US)
Pages (from-to)	647-653
Number of pages	7
Journal	Clinical Obstetrics and Gynecology
Volume	52
Issue number	4
DOIs	https://doi.org/10.1097/GRF.0b013e3181beda76
State	Published - Dec 1 2009

Keywords

Acardiac twin
Selective intrauterine growth restriction
Twin reversed arterial perfusion sequence
Twin-twin transfusion syndrome

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1097/GRF.0b013e3181beda76

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AU - Kontopoulos, Eftichia

AU - Quintero, Rubén

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AB - Operative fetoscopy is a surgical approach to the in utero treatment of fetal or placental abnormalities. The approach is on the basis of combined use of ultrasound and endoscopy and minimally invasive access into the womb. Operative fetoscopy is associated with significantly less risk of preterm birth, neonatal morbidity, and maternal morbidity as compared with open fetal surgery. A wide variety of fetal conditions have been surgically managed via operative fetoscopy, particularly complicated monochorionic twin gestations. The aim of this chapter is to review the current status and future direction of operative fetoscopy for the treatment of complicated monochorionic twin pregnancies.

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KW - Twin reversed arterial perfusion sequence

KW - Twin-twin transfusion syndrome

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Fetoscopic management of complicated monochorionic twins

Abstract

Keywords

ASJC Scopus subject areas

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