Introduction: The monochorionic biamniotic twin pregnancy (MCBA) corresponds to approximately 15% of all twin pregnancies and an estimate of 10-15% develop complications proper of these types of pregnancies, such as selective intrauterine fetal growth restriction (IUGRs) and feto-fetal transfusion syndrome (FFTS). Laser fetal surgery allows treatment of these hemodynamic alterations of MCBA by fulguration of placental anastomoses, and it is currently considered the first-choice therapy for FFTS and some IUGR cases. Objectives: To highlight the general aspects of laser fetal surgery and to describe current evidence of its efficacy and safety in FFTS and IUGRs. Methods: Review of articles published during the last five years in indexed journals from the following databases: PUBMED, MEDLINE, EMBASE and Cochrane Library. Review papers, original papers, and systemic reviews were included. Cla...

We report the case of a pregnant woman attended at our unit with 39 weeks of gestation carrying a fetus affected with left diaphragmatic hernia. An EXIT (ex-utero intrapartum treatment) procedure was carried out in order to reduce hypoxia and aerophagia commonly observed during neonatal intubation. We demonstrate the feasibility of this highly specialized procedure in our local setting, not only for diaphragmatic hernia but also for diseases affecting fetal airway. This procedure is currently a standard procedure in perinatal care of fetuses with diaphragmatic hernia at our hospital.