Fetoscopic management of complicated monochorionic twins

Ramen Chmait, Eftichia Kontopoulos, Rubén Quintero

Research output: Contribution to journalReview article

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 languageEnglish (US)
Pages (from-to)647-653
Number of pages7
JournalClinical Obstetrics and Gynecology
Volume52
Issue number4
DOIs
StatePublished - 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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