Salvage surgery of the limb with severe pseudoamniotic band syndrome: case report and literature review.
Pseudoamniotic band syndrome is a rare iatrogenic complication of twin-to-twin transfusion syndrome treated with foetoscopic procedures. We report a severe pseudoamniotic band syndrome in the recipient monochorionic diamniotic twin pregnancy with twin-to-twin transfusion syndrome following a selective foeticide procedure. A male newborn with a severe circumferential amniotic band in the left leg was treated by single-stage excision of the ring and arterio-venous decompression. No complications were encountered. A microsurgical approach to improve the circulation together with ring excision may be useful in some cases.
Plastic and Reconstructive Surgery, Baskent University Faculty of Medicine, Adana, Turkey.
H
H
Çöloğlu
Plastic and Reconstructive Surgery, Baskent University Faculty of Medicine, Adana, Turkey.
B
B
Özkan
Pediatric Surgery, Cukurova University Faculty of Medicine, Adana, Turkey.
Ö
Ö
Çöloğlu
Gynecology, Obstetrics and Neonatology, Baskent University Faculty of Medicine, Adana, Turkey.
C
C
Yalçınkaya
Plastic and Reconstructive Surgery, Baskent University Faculty of Medicine, Adana, Turkey.
A Ç
AÇ
Uysal
Plastic and Reconstructive Surgery, Baskent University Faculty of Medicine, Adana, Turkey.
H
H
Borman
D000652:Amniotic Band Syndrome / Q000175:diagnosis* / Q000601:surgery*; D019299:Decompression, Surgical; D005260:Female; D005330:Fetofetal Transfusion / Q000175:diagnosis* / Q000601:surgery*; D005332:Fetoscopy; D005528:Foot / Q000098:blood supply; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000175:diagnosis* / Q000601:surgery*; D007511:Ischemia / Q000175:diagnosis / Q000601:surgery; D007866:Leg / Q000002:abnormalities / Q000601:surgery; D023821:Limb Salvage / Q000379:methods*; D008297:Male; D008866:Microsurgery; D011247:Pregnancy; D018607:Pregnancy Reduction, Multifetal; D059285:Pregnancy, Twin