What--and why--the pediatric surgeon should know about twin-to-twin transfusion syndrome.
Abstract Endoscopic laser ablation of placental vessels is the most commonly performed fetal operation today. Herein, we review the pathophysiology of twin-to-twin transfusion syndrome and the challenges of its treatment. Pediatric surgeons, with their knowledge of fetal and congenital pathology, and their technical expertise with minimally invasive surgery, can be of great benefit to the patient and the medical team.
Luks
Francois I
FI
Division of Pediatric Surgery, Brown Medical School, Providence, RI 02912, USA.
Carr
Stephen R
SR
De Paepe
Monique E
ME
Tracy
Thomas F
TF
D000653:Amniotic Fluid; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005330:Fetofetal Transfusion / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology* / Q000601:surgery*; D006801:Humans; D015994:Incidence; D053685:Laser Therapy / Q000379:methods*; D011247:Pregnancy; D011296:Prenatal Diagnosis