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- W2023896662 abstract "<h3>Aim</h3> To evaluate the effects of operator experience on outcome for fetoscopic laser ablation in a single centre. <h3>Methods</h3> A cohort of consecutive monochorionic twin (MC) pregnancies complicated by severe TTTS (≤26 weeks) treated by fetoscopic laser ablation (FLA) (October 2004–June 2010). <h3>Results</h3> Over 6 years 199 MC twins with severe TTTS were managed with FLA in a single centre by two operators. Over this time period the number of cases performed per annum increased from 5.25 per calendar month (pcm) in 2008–2009 to 17 in 2009–2010. Operator A performed 152 cases and operator B 47. There was no significant difference in outcomes between the two operators with both operators achieving an 85% survival ≤1 baby at 28 days. Logistic regression analysis revealed that the number of cases that need to be performed to reach the overall survival for ≤1 baby of 85% was 65. This took the centre 1.47 years to achieve. After 178 cases the unit had reached a survival ≤1 baby of 90% over 1.95 years. Univariate regression analysis suggested that operator experience may have an effect on survival. However, a multivariate analysis revealed that GA at delivery was the only significant factor. Influence of operator experience using Learning Curve-cumulative Summation Test for Quantitative & Individualized assessment of competency suggests that 60 procedures need to be performed as an individual to reach competency. <h3>Conclusion</h3> These data indicate that large numbers of cases and experience of the operator are important factors in outcome for severe TTTS treated by FLA." @default.
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- W2023896662 date "2011-06-01" @default.
- W2023896662 modified "2023-09-27" @default.
- W2023896662 title "Does operator experience influence outcome of fetoscopic laser ablation (FLA) for severe twin to twin transfusion syndrome (TTTS)?" @default.
- W2023896662 doi "https://doi.org/10.1136/adc.2011.300161.7" @default.
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