Minimally invasive treatment of twin-to-twin transfusion syndrome

AORN J. 2000 Apr;71(4):796, 801-10; quiz 811-2, 815-8. doi: 10.1016/s0001-2092(06)62263-1.

Abstract

Selective laser photocoagulation of communicating vessels (SLPCV) is an application of minimally invasive endoscopic fetal surgery (i.e., surgical fetoscopy) performed for severe cases of twin-to-twin transfusion syndrome (TTTS), a complication of monochorionic twin pregnancies. Advances in ultrasound and endoscopy have aided the identification and treatment of this potentially lethal or fatal condition. Surgical fetoscopy, an innovation in the field of surgery and maternal-fetal medicine, benefits patients by reducing the morbidity and mortality associated with TTTS, with minimal risks to the mother.

Publication types

  • Review

MeSH terms

  • Amniocentesis
  • Female
  • Fetofetal Transfusion / complications
  • Fetofetal Transfusion / diagnosis
  • Fetofetal Transfusion / therapy*
  • Fetoscopy / adverse effects
  • Fetoscopy / methods*
  • Fetoscopy / nursing*
  • Humans
  • Laser Coagulation / adverse effects
  • Laser Coagulation / instrumentation
  • Laser Coagulation / methods*
  • Laser Coagulation / nursing*
  • Nursing Assessment
  • Operating Room Nursing / methods*
  • Patient Education as Topic
  • Patient Selection
  • Perioperative Care / methods
  • Perioperative Care / nursing
  • Pregnancy
  • Ultrasonography, Prenatal