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- W4238199253 abstract "To evaluate surgical competence and overall perinatal survival of both twins. We performed a prospective consecutive cohort study on 37 MC-DA twins and two cases of DC-TA complicated by severe Twin–twin transfusion syndrome (TTTS) before 26 weeks of gestation treated by fetoscopic laser coagulation between October 2018–March 2020. We followed the essential substeps for FLC. There were 39 consecutive cases of severe TTTS. The median maternal age was 27 (18–39), 27% stage II, 61.1% stage III, and 11% stage IV, the location of placenta was anterior in 16 cases (43%) posterior in 23 cases (57%). The median gestational age at FLC was 22 (18–26). The median gestational age at delivery was 31 (86.1%), there were 4 cases of PROM after FLC (10.2%).Perinatal survival of at least one twin was 33 (86.1%) and for both twins was 19 (50%). There were no serious maternal or fetal complications. We could get the level of expected surgical performances at least one survivors of 80%, and the rate of two survivors at least 50%, in our preliminary group of patients. We followed all essential substeps for FLC. Our proficiency in this complex procedure was achieved through stimuator based training and supervision for the first few cases by two experts in this field. These data indicates that a good learning programs could minimise any adverse outcomes and maintains acceptable competence to performing the procedure unsupervised." @default.
- W4238199253 created "2022-05-12" @default.
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- W4238199253 date "2020-10-01" @default.
- W4238199253 modified "2023-09-27" @default.
- W4238199253 title "VP43.13: Operative performance of fetoscopic laser coagulation for Twin–twin transfusion syndrome at university‐based hospital in Iran" @default.
- W4238199253 doi "https://doi.org/10.1002/uog.23000" @default.
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