Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Troubles with twins: fetoscopic therapy.

R Milner1, T M Crombleholme

  • 1Center for Fetal Diagnosis and Treatment, Children's Hospital of Philadelphia, PA 19104, USA.

Seminars in Perinatology
|January 12, 2000
PubMed
Summary

Monochorionic twins face unique perinatal challenges. Fetoscopic surgery offers a promising new approach for complicated monochorionic twin gestations, improving outcomes for conditions like twin-twin transfusion syndrome.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Prevalence and severity of imposter phenomenon in consultant radiographers.

Radiography (London, England : 1995)·2026
Same author

Reply to letter to the editor regarding Mussman et al. 'The lateral wrist radiograph - To retake or not to retake'.

Radiography (London, England : 1995)·2022
Same author

The impact of the Covid-19 pandemic on the mental health and work morale of radiographers within a conventional X-ray department.

Radiography (London, England : 1995)·2021
Same author

Effect of yoga training on the tinnitus induced distress.

Complementary therapies in clinical practice·2019
Same author

Response rate to a single dose of vinblastine administered to dogs with treatment-naive multicentric lymphoma.

Veterinary and comparative oncology·2018
Same author

Measurement of the Vector and Tensor Asymmetries at Large Missing Momentum in Quasielastic (e[over →],e^{'}p) Electron Scattering from Deuterium.

Physical review letters·2017

Area of Science:

  • Perinatal medicine
  • Maternal-fetal medicine
  • Minimally invasive fetal surgery

Background:

  • Monochorionic twin gestations present complex perinatal management issues distinct from dichorionic twins and singletons.
  • Complications include monoamniotic presentation, structural anomalies, twin reversed arterial perfusion (TRAP) sequence, and twin-twin transfusion syndrome (TTTS).
  • These conditions are linked to elevated rates of morbidity and mortality.

Purpose of the Study:

  • To review the natural history, pathophysiology, diagnosis, and indications for fetoscopic surgery in complicated monochorionic twin pregnancies.
  • To highlight fetoscopic surgery as a novel therapeutic intervention for these high-risk gestations.

Main Methods:

  • Review of existing literature on monochorionic twin complications and fetoscopic surgical interventions.
  • Examination of advances in microinstrumentation enabling expanded fetoscopic applications.
  • Analysis of diagnostic criteria and surgical indications for specific twin complications.

Main Results:

  • Fetoscopic surgery is emerging as a viable and promising treatment modality.
  • Advances in technology have broadened the scope of fetoscopy for prenatal conditions.
  • Specific conditions like TTTS show improved outcomes with timely intervention.

Conclusions:

  • Fetoscopic surgery represents a significant advancement in managing complicated monochorionic twins.
  • Understanding the natural history and pathophysiology is crucial for appropriate patient selection.
  • Further research and technological refinement will continue to enhance fetal surgical capabilities.

Related Experiment Videos