Ttts Surgery

Since cervical assessment with ultrasound has now become routine in their center 20 30 of ttts cases either come with a cerclage in place have it placed there after the laser or return home to have it placed. It can affect monochorionic multiples that is multiple pregnancies where two or more fetuses share a chorion and hence a single.

Pediatric Health Blog Texas Children S Hospital Fetal Surgery Saves Lives Of Unborn Babies With Twin Texas Childrens Hospital How To Have Twins Unborn Baby

This surgery known as endoscopic laser ablation is performed in utero and can correct the blood sharing imbalance caused by ttts.

Ttts surgery. Ttts survival rate after laser surgery of those 145 pregnancies diagnosed with twin to twin transfusion syndrome there were 34 cases of single fetal demise after laser therapy this means that one twin died in 24 1 percent of the cases treated at the centre. This also goes for the acute or sudden transfusion should one baby pass away or become suddenly ill. He also explained that there are multiple complications that can arise and multiple health issues that can arise as a result of the ttts and the laser surgery including but not limited to brain damage kidney damage heart problems death of one or both babies or death of the mother.

Ttts laser surgery is the only ttts surgery that can destroy the connections in the shared placenta and stop the transfusion of blood from the donor to the recipient twin. In cases of ttts of stage 2 or higher at approximately 16 26 weeks of gestation surgeons use a laser to block the blood vessels that communicate between the two fetuses. Twin to twin transfusion syndrome ttts also known as feto fetal transfusion syndrome ffts twin oligohydramnios polyhydramnios sequence tops and stuck twin syndrome is a complication of disproportionate blood supply resulting in high morbidity and mortality.

I read a few other posts i found online about the surgical experience of others this one was particularly helpful because i m someone who likes to research and know things and avoid surprises. This procedure involves making a small incision in the mother s abdomen and inserting a trocar or small metal tube into the uterus. Contact the colorado fetal care center 1 855 413 3825 the road to recovery after ttts laser surgery for moms carrying twins diagnosed with ttts their anxieties may not subside until they meet their babies.

When babies are more severely affected by ttts the team may recommend selective fetoscopic laser photocoagulation or laser surgery. The surgeon inserts a pencil tip sized fiber optic scope in the mother s uterus and examines the entire placenta to find the crossing blood vessels. For instance it may explain why 25 of ttts cases treated by laser surgery in one center see paper by de lia et al in treatments section had no surviving babies.

Ttts laser surgery was something i knew we might need since the topic first came up around 16 18 weeks but i didn t think it would be so soon. I couldn t find a lot out there though so i decided that i would write about my experience and share that too once it happened. 145 pregnancies were diagnosed with twin to twin transfusion syndrome ttts and treated with laser therapy at the same centre in japan between 2007 and 2015.

In complicated cases of twin to twin transfusion syndrome ttts minimally invasive surgery can offer the best chance of having two healthy babies.

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