Fetoscopic surgery in triplet pregnancies: a multicenter case series.

Abstract:

OBJECTIVE:The purpose of this study was to evaluate the feasibility of fetoscopic surgery in complicated monochorionic and dichorionic triplet pregnancies. STUDY DESIGN:This was a case series of fetoscopic surgery in 12 cases of monochorionic (n = 5) or dichorionic (n = 7) triamniotic triplets complicated by severe feto-fetal transfusion (n = 8), twin reversed arterial perfusion sequence (n = 3), or discordant for an anomaly (n = 1). Six underwent cord occlusion, and 6 had laser coagulation of the vascular anastomoses. RESULTS:All procedures were successfully completed, and the outcome was comparable to that reported for similar procedures in twins. Eighty-three percent of fetuses survived, and 13% had long-term problems. CONCLUSION:Fetoscopic surgery may be considered as a therapeutic option in complicated triplet pregnancies, with results similar to those found in twins.

journal_name

Am J Obstet Gynecol

authors

Van Schoubroeck D,Lewi L,Ryan G,Carreras E,Jani J,Higueras T,Deprest J,Gratacos E

doi

10.1016/j.ajog.2004.06.039

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

1529-32

issue

5

eissn

0002-9378

issn

1097-6868

pii

S0002937804006398

journal_volume

191

pub_type

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