title: [Favourable outcome after fetoscopic laser surgery for twin-twin transfusion syndrome: experience of an emerging centre].
abstract: OBJECTIVE
  Our objective was to report perinatal outcome during the first three years of an emerging centre for laser photocoagulation in twin-twin transfusion syndrome (TTTS) and to compare with outcome observed earlier in the same centre when management consisted in recurrent amniodrainage.
  
  
  METHODS
  We conducted a single centre retrospective study. We compared perinatal outcome of 19 consecutive cases of mid trimester TTTS managed by amniodrainage over a 10-year period with 49 cases of TTTS managed by laser photocoagulation over a 3-year period.
  
  
  RESULTS
  Laser photocoagulation increased survival rate at birth (P=0.02) and at postnatal day 28 (P=0.01). Neurologic and cardiologic complications did not differ significantly (P=0.5 and P=0.3 respectively). We observed a significant increase in survival of the donor after laser coagulation at birth (P=0.04).
  
  
  CONCLUSIONS
  Our study demonstrated better outcome after laser photocoagulation. Early results of an emerging centre appeared comparable to those of more experienced centres.
authors: Pôle gynécologie-obstétrique-reproduction humaine, CHU Clermont-Ferrand, Hôtel-Dieu, boulevard Léon-Malfreyt, Clermont-Ferrand, France.
authors: A
authors: A
authors: Delabaere
authors: M
authors: M
authors: Accoceberry
authors: J
authors: J
authors: Niro
authors: L
authors: L
authors: Velemir
authors: H
authors: H
authors: Laurichesse-Delmas
authors: K
authors: K
authors: Coste
authors: B
authors: B
authors: Bœuf
authors: A
authors: A
authors: Labbe
authors: B
authors: B
authors: Storme
authors: D
authors: D
authors: Lemery
authors: D
authors: D
authors: Gallot