title: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Fetoscopic surgery may be considered as a therapeutic option in complicated triplet pregnancies, with results similar to those found in twins.
authors.affiliation: Departments of Obstetrics and Gynecology, University Hospital Gasthuisberg, K. U. Leuven, Belgium. Dominique.VanSchoubroeck@uz.kuleuven.ac.be
authors.forename: Dominique
authors.initials: D
authors.lastname: Van Schoubroeck
authors.forename: Liesbeth
authors.initials: L
authors.lastname: Lewi
authors.forename: Greg
authors.initials: G
authors.lastname: Ryan
authors.forename: Elena
authors.initials: E
authors.lastname: Carreras
authors.forename: Jacques
authors.initials: J
authors.lastname: Jani
authors.forename: Teresa
authors.initials: T
authors.lastname: Higueras
authors.forename: Jan
authors.initials: J
authors.lastname: Deprest
authors.forename: Eduard
authors.initials: E
authors.lastname: Gratacos
mesh_terms: D000328:Adult; D001530:Belgium / Q000453:epidemiology; D002823:Chorion; D005260:Female; D005330:Fetofetal Transfusion / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005332:Fetoscopy; D006330:Heart Defects, Congenital / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D006801:Humans; D017075:Laser Coagulation; D009864:Ontario / Q000453:epidemiology; D011247:Pregnancy; D013030:Spain / Q000453:epidemiology; D016019:Survival Analysis; D014310:Triplets