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Diagnosis and treatment of twin-to-twin transfusion syndrome (TTTS)
Medical Laser Application, 02/27/09
Kagan KO et al. - The incidence of fetal or neonatal death and preterm delivery in monochorionic twin pregnancies is substantially higher than in dichorionic twin pregnancies due to TTTS. About 10–15% of all monochorionic twin pregnancies are affected by severe TTTS which is characterized by hypervolemia and polyhydramnios in one fetus, and hypovolemia and anhydramnios in the other one. Effective treatment is provided by intrauterine laser coagulation of the communicating vessels which allows survival of at least one fetus in about 75% of the cases.
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