Twin-to-twin transfusion syndrome: experience with 69 cases

• Autores: Yamamoto C., Masami, Huamán, Moisés, Astudillo D., Julio, Pedraza S., Daniel, Fleiderman D., José, Hidalgo, Guillermo, Insunza F., Alvaro, González V., Marcelo
• Formato: artículo
• Fecha de Publicación: 2016
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista SPOG - Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español
• OAI Identifier: oai:ojs.spog:article/1903
• Enlace del recurso: http://www.spog.org.pe/web/revista/index.php/RPGO/article/view/1903
• Nivel de acceso: acceso abierto

Fetoscopy for fetal-fetal transfusion syndrome is the most frequent fetal surgery performed in the world. The results should be reported, so that the patients can choose their choice of care. Objective: To determine the results of fetal surgery on twin-to-twin transfusion syndrome. Design: Retrospective study. Setting: Clínica Alemana, Santiago, Chile. Participants: Pregnant women with twins. Interventions: Fetal surgery was performed under local anesthesia, with 3.3mm fetoscopy-specific Storz endoscopes. Main outcome measures: Fetal survival. Results: The series of cases began in the year 2005, and to date 71 surgeries were carried out, with 69 that resolved their pregnancy. Thirty-three women had both living children (48%), 25 only one living child (36%) and 11 concluded without living children (16%). Conclusions: The rate of pregnancies with one or both children born alive was 84%, exceeding 90% in the last 30 cases. There were 6 patients from Peru, of which four had two living children.