Treatment of twin-twin transfusion syndrome with proximate umbilical cord insertions
Manisha Gandhi1, Ramesh Papanna, Karen Moise
1Department of Obstetrics and Gynecology, Baylor College of Medicine, 1709 Dryden Rd, Houston, TX 77030, USA. manishag@bcm.edu
Laser ablation of anastomosis is one method for treatment of twin-twin transfusion syndrome in monochorionic pregnancies. Sonographic mapping of the umbilical cord insertions is an important aspect of the preoperative workup before laser ablation. Proximate umbilical cord insertions can be potential contraindications to laser ablation. This series discusses 6 such cases.
Laser ablation of anastomosis is one method for treatment of twin-twin transfusion syndrome in monochorionic pregnancies. Sonographic mapping of the umbilical cord insertions is an important aspect of the preoperative workup before laser ablation. Proximate umbilical cord insertions can be potential contraindications to laser ablation. This series discusses 6 such cases.


