Resumen

YAMAMOTO C, Masami et al. TRATAMIENTO POR FETOSCOPIA DEL SÍNDROME DE TRANSFUSIÓN FETO FETAL EN CLÍNICA ALEMANA DE SANTIAGO. Rev. chil. obstet. ginecol. [online]. 2009, vol.74, n.4, pp.239-246. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262009000400006.

Background: Twin to twin transfusion syndrome (TTTS) occurs in 15% of monochorionic twins and has a 90% mortality when diagnosed before 26 weeks. Objective: To evaluated the perinatal outcome following fetoscopy guided laser coagulation of placental anatomoses. Method: Retrospective analysis of 18 cases treated in Clinica Alemana, between 2005 and 2008. Results: 72.8% of the pregnancies had at least one survivor at neonatal discharge. No case needed a second fetoscopy. There was no rupture of the membranes in patients without symptoms before surgery. There were no neurological sequels in survivors. Conclusions: The maternal and perinatal outcome is similar to international series and demonstrates feasibility in our country by experienced operators.

Palabras clave : Twin to twin transfusion syndrome; fetoscopy; monochonionic twin pregnancy; intrauterine treatment.

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