Interstitial laser: a new surgical technique for twin reversed arterial perfusion sequence in early pregnancy

Jolly, M., Taylor, M., Rose, G., Govender, L. and Fisk, N.M. (2001) Interstitial laser: a new surgical technique for twin reversed arterial perfusion sequence in early pregnancy. British Journal of Obstetrics and Gynaecology, 108 10: 1098-1102. doi:10.1111/j.1471-0528.2001.00250.x


Author Jolly, M.
Taylor, M.
Rose, G.
Govender, L.
Fisk, N.M.
Title Interstitial laser: a new surgical technique for twin reversed arterial perfusion sequence in early pregnancy
Journal name British Journal of Obstetrics and Gynaecology   Check publisher's open access policy
ISSN 0306-5456
1365-215X
Publication date 2001-10-01
Sub-type Article (original research)
DOI 10.1111/j.1471-0528.2001.00250.x
Open Access Status Not Open Access
Volume 108
Issue 10
Start page 1098
End page 1102
Total pages 5
Place of publication West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Abstract Current treatments for twin reversed arterial perfusion sequence are associated with significant morbidity and most are not feasible in early gestation. We report the use of an interstitial laser in two pregnancies complicated by this sequence at 14 and 15 weeks, respectively. A 600μm laser fibre was introduced via a 17 gauge needle into the abdomen of the perfused twin close to the vitelline artery and umbilical vein, which were occluded by neodymium:yttrium aluminium garnet (Nd:YAG) laser. Both pregnancies continued uneventfully and each resulted in the birth of a healthy baby at term.
Keyword Acardiac-acephalus twin
Umbilical-cord ligation
Selective delivery
Trap sequence
Coagulation
Hysterotomy
Laparoscopy
Occlusion
Gestation
Failure
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: Faculty of Health and Behavioural Sciences -- Publications
 
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