FETO-FETAL TRANSFUSION SYNDROME. FETOSCOPIC LASER COAGULATION OF ANASTOMOSES


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Abstract

Objective. To evaluate the efficiency of fetoscopic interventions in patients with monochorial placentation in multiple pregnancy complicated by the development of feto-fetal transfusion syndrome (FFTS). Subject and methods. Sixty-one fetoscopic laser coagulations of anastomoses were carried out for FFTS. The patients’ ages ranged from 18 to 39 years. Fetoscopy was performed in Quintero Stage less than II and not more IV FFTS. Results. Forty-one pregnancies resulted in at least one live birth. The severe complications were noted to include 3 premature separations of the normally located placenta. Conclusion. Timely and successful use of fetoscopy gives considerable chances for successful pregnancy. The placenta being located along the anterior uterine wall complicates the course of intervention.

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About the authors

A. E BUGERENKO

M.V. Lomonosov Moscow State University

Email: jeddit@yandex.ru
Department of Obstetrics and Gynecology, Faculty of Fundamental Medicine

M. A KURTSER

N.I. Pirogov Russian National Research Medical University

Email: m.kurtser@mospmc.ru
Department of Obstetrics and Gynecology, Faculty of Pediatrics

L. G SICHINAVA

N.I. Pirogov Russian National Research Medical University

Department of Obstetrics and Gynecology, Faculty of Pediatrics

D. I SUKHANOVA

M.V. Lomonosov Moscow State University

Department of Obstetrics and Gynecology, Faculty of Fundamental Medicine

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