Twin to twin transfusion syndrome – comparison between 1 mm and 2 mm optic laser coagulation

Abstract

Introduction: Twin to twin Transfusion syndrome is one of the most severe complications in monochorionic twin pregnancies and can cause severe impairment of fetal and neonatal outcome. In severe TTTS the fetoscopic laser coagulation is the Treatment of choice. Fetoscopic laser coagulation is associated with a morbidity and mortality due to iatrogenic rupture of membranes as well as iatrogenic placenta insufficiency. An Adaptation of the fetoscopic Tools to reduce the lesions of the amniotic Membrane can decrease the risk of PROM and increase the overall survival.