Cord entanglement - SIEOG
Cord entanglement - SIEOG
Cord entanglement - SIEOG
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Selective feticide in Monoamniotic Twin Pregnancies<br />
by Umbilical <strong>Cord</strong> Occlusion and Transection<br />
JM Middeldorp, Klumper, Oepkes, Lopriore, Kanhai, Vandenbussche, Fetal Diagn Ther 2008; 23:121-<br />
MO-DI: with discordant congenital anomaly, TRAP, severe TTTS with a crtically ill fetus.<br />
MO-MO: Risk of cord <strong>entanglement</strong> and cord knots even after death of one fetus: additional<br />
transection of the umbilical cord to avoid the complications of cord <strong>entanglement</strong> later in<br />
pregnancy?!<br />
(In proximity of abdominal insertion)<br />
Coagulation in the non-contact mode and cord-transection in the contact-mode<br />
under direct and continuos vision, 2-mm fetoscope or 1-mm embryoscope with 4000 Microm laser fiber.<br />
Up to 20 wks: Laser Occlusion of the umbilical cord<br />
Ville Y, Hyett JA, Vandebussche FP, Nicolaides KH: Endoscopic laser coagulation of umbilical cord vessels in TRAP sequence.<br />
Ultrasound Obstet Gynecol 1994;4:396-398.<br />
After 20 wks: Bipolar coagulation followed by Laser Transection<br />
Challis D, Gratacos E, Deprest JA: <strong>Cord</strong> occlusion techniques for selective termination in monochorionic twins. J Perinat Med<br />
1999;27:327-338<br />
mo-mo<br />
Selective feticide in monoamniotic twin<br />
pregnancies by cord occlusion and transection<br />
Middeldorp J, Fetal Diag Ther 2008<br />
18/05/2013<br />
19
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