%0 Generic %A N.B., Kunzier %A B., Allaf %A M.R., Chavez %A D., Abenanti-Richmond %A A.M., Vintzileos %D 2016 %T Supplementary Material for: Disentanglement of Discordant Monochorionic-Monoamniotic Twins in a Triplet Pregnancy: An Innovative Approach Utilizing Fetoscopic Laser Coagulation with Micro-Laparoscopic Scissor Dissection %U https://karger.figshare.com/articles/dataset/Supplementary_Material_for_Disentanglement_of_Discordant_Monochorionic-Monoamniotic_Twins_in_a_Triplet_Pregnancy_An_Innovative_Approach_Utilizing_Fetoscopic_Laser_Coagulation_with_Micro-Laparoscopic_Scissor_Dissection/4434827 %R 10.6084/m9.figshare.4434827.v1 %2 https://ndownloader.figshare.com/files/7162418 %2 https://ndownloader.figshare.com/files/7162421 %2 https://ndownloader.figshare.com/files/7162424 %K Fetal surgery %K Microdissection %K Selective reduction %X

Triplet gestations are associated with high perinatal morbidity. Dichorionic-diamniotic triplet pregnancies with growth discordance, polyhydramnios and structural anomalies carry a significantly increased risk of fetal morbidity and mortality from the baseline risks of high-order multiple pregnancies. Intrauterine fetal death of one fetus of a monochorionic pregnancy may cause neurological injury to the surviving fetus. We present a case where an innovative technique was created combining use of the fetoscopic laser and miniature laparoscopic instruments to selectively reduce and disentangle the umbilical cord of the acranial growth-restricted fetus from the structurally normal fetus's umbilical cord in a dichorionic-diamniotic triplet pregnancy.

%I Karger Publishers