Laser therapy
Fetoscopic laser therapy for TTTS performed percutaneously
before 26 weeks of gestation is a minimally
invasive treatment with few maternal complications,
with premature rupture of membranes becoming
the main source of neonatal complications [17].
It has been recognized that laser surgery for TTTS
should be available in fetal medicine units that
are managing at least 20 cases per year [13].
Sonography is very important before, during, and
after this procedure. Before the procedure, you
have to locate the position of the placenta, the
position of the fetuses, the amount of amniotic fluid,
and the ideal position for insertion of the fetoscope.
A good evaluation is crucial for a successful operation.
The insertion of the fetoscope is usually not
difficult in mainly posterior placenta (Fig. 1); you
Laser therapyFetoscopic laser therapy for TTTS performed percutaneouslybefore 26 weeks of gestation is a minimallyinvasive treatment with few maternal complications,with premature rupture of membranes becomingthe main source of neonatal complications [17].It has been recognized that laser surgery for TTTSshould be available in fetal medicine units thatare managing at least 20 cases per year [13].Sonography is very important before, during, andafter this procedure. Before the procedure, youhave to locate the position of the placenta, theposition of the fetuses, the amount of amniotic fluid,and the ideal position for insertion of the fetoscope.A good evaluation is crucial for a successful operation.The insertion of the fetoscope is usually notdifficult in mainly posterior placenta (Fig. 1); you
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