Abstract

HUAMAN GUERRERO, Moisés  and  YAMAMOTO CORTEZ, Masami. Twin-twin transfusion syndrome (TTTS). Rev. peru. ginecol. obstet. [online]. 2015, vol.61, n.3, pp.281-285. ISSN 2304-5132.

Objectives: To review twin-twin transfusion syndrome (mS) comparative results by techniques used in regards to diagnosis, treatment, survival and complications, as well as current management of this complication in Peru. Methods: Articles published in specialized bibliographic sources were revised, and experience in Peru and Chile on management of this syndrome was analyzed. Results: ms is an uncommon complication of monochorionic twin pregnancy with major repercussion on the health of both fetuses. Treatment of choice of severe cases (Quintero I-IV) is fetoscopic laser photocoagulation of superficial and deep anastomoses at 18-26 weeks of pregnancy. About 140 cases per year occur in Peru and implementation ofthis technique is necessary. Conclusions: Elective treatment of severe cases of ms is fetoscopic laser photocoagulation of superficial and deep anastomoses between 18-26 weeks of gestation. This technique should be implemented in Peru.

Keywords : Monochorial twin gestation; twin-twin transfusion syndrome; fetoscopy; intrauter­ ine laser.

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