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A case report: The role of amnioreduction plus septostomy in management of twin twin transfusion syndrome

Year 2004, Volume: 35 Issue: 2, 75 - 78, 01.03.2004

Ayşe Gürbüz Haliloğlu Berna Gürbüz Aydın Gaziyiz Göknur Öztürk

Abstract

We have reported our experience with intentional puncture of the intervening membrane (septostomy)in combination with amnioreduction in a severe twin to twin transfusion syndrome case. One of the fetuses (in the form of stuck twin) had anydramnios and nonvisible bladder. The other fetuse had anyhydramnios and enlarged bladder. We support thatamniotic septostomy plus amnioreduction is a basic and promising method for the management of this syndrome.

Keywords

Fetofetal Transfusion Bladder

References

  • 1. Denbow M, et al: Placental angioarchitecture in monochorionic twin pregnancies: Relationship to fetal growth, feto-fetal transfusion syndrome and pregnancy outcome. Am J Obstet Gynecol 2000;182:417-426. 2. Machin G, Still K, Lalani T: Correlations of placental vascular anatomy and clinical outcomes in 69 monochorionic twin pregnancies. Am J Med Genet 1996;61:229-236
  • 3. Bajoria R, Wigglesworth J, Fisk NM: Angioarchitecture of monochorionic placentas in relation to the twin-twin transfusion syndrome. Am J Obstet Gynecol 1995;172:856-863
  • 4. Sebire N et al: The hidden mortality of monochorionic twin pregnancies. Br J Obstet Gynaecol 1997;104:1203-1207
  • 5. Fisk NM and Taylor MJO. The fetus with twin-twin transfusion syndrome.In Harrison MR, Evans MI eds. The unborn patient. Third edition Philadelphia: W.B. Saunders Company 2001; 341-355. 6. Johnson JR, Rossi KQ, O'Shaughnessy RW: Amnioreduction versus septostomy in twin-twin transfusion syndrome. Am f Obstet Gynecol Nov; 2001;185:1044-7
  • 7. Saade GR, Belfort MA, Berry DL et al.Amniotic septostomy for the treatment of twin oligo-hidramnios-polyhydramnioş sequence. Fetal Diagn Ther 1998;13: 86-93
  • 8. Pistorius LR, Howarth GR. Failure of amniotic septostomy in the management of 3 subsequent cases of severe previable twin-twin transfusion syndrojne. Fetal Diagn Ther 1999:14:337-40
  • 9. Suzuki S, Ishikawa G, Sava R, Yoneyama Y, Otsubo Y,Araki T. Iatrogenie monoamniotic twin gestation with progressive twin-twin transfusion syndrome. Fetal Diagnose Ther 1999:14:98-101 10. Hartung J, Chaoui R, Bollmann R. Amniotic fluid pressure in both cavities of twin-twin transfusion syndrome: a vote against septostomy
  • Fetal Diagnose Ther 2000:15:79-82 11. Adegbite AL, Ward SB, Bajoria R. Perinatal outcome following amniotic septostomy chronic TTTS is independent of placental angioarchitecture
  • J Perinatol 2003:23:498-503 12. Hecher K, Plath H, Brezenger T, Hansmann M, Hackeloer Bf: Endoscopic laser surgery versus serial amniocenteses in the treatment of severe twin-twin transfusion syndrome. Am J Obstet Gynecol 1999:180:717-24 13. Quintero RA, Dickinson J, Morales WJ, Bornick PW, Bermudez C, Cincotta R, ChanFY, Allen MH. Stage-based treatment of twin-twin transfusion syndrome. Am J Obstet Gynecol 2003;188:1333- 40
  • 14. Mari G, Detti L, Oz U, Abuhamad AZ: Long term outcome in twin-twin transfusion syndrome treated with serial aggressive amnioreduction. Am J Obstet Gynecol 2000:183:211-7
  • 15. Ville Y, Hecher K, GagnonA, Sebire N, HyettJ, Nicolaides K. Br J Obstet Gynecol 1998:105:446-53
  • 16. Ville Y, Van Peborgh P, GagnonA, Frydman R, Fernandez H. Surgical treatment of twin-twin transfusion syndrome: coagulation of anastomoses with a Nd:YAG laser, under endosonographic control. Forty four cases. J Gynecol Obstet Biol Reprod 1997:26:175-81
  • 17. Banek CS, Hecher K, Hackeloer BJ, Bartmann P. Long-term neurodevelopmental outcome after intrauterin laser treatment for severe twin-twin transfusion syndrome. Am J Obstet Gynecol 2003:188:876-80
  • 18. Stone CA, Quinn MW, Saxby PJ. Congenital skin loss following Nd:YAG placental photocoagulation. Burns 1998:24:275-7
  • 19. Lundvall L, Skibsted L, Graem N. Limb necrosis associated with twin-twin transfusion syndrome treated with YAG-laser coagulation. Acta Obstet Gynecol Scand 1999:78:349-50 20. Hubinont C, Bernard P, Pirot N, BiardJ, Donnez J: Twin- to- twin transfusion syndrome: treatment by amniodrainage and septostomy. Eur J Obstet Gynecol Reprod Biol 2000; 92:141-4
  • 21. Kirshon B, Mari G, Moise KJR: Indomethacin therapy in the treatment of symptomatic polyhydramnios. Obstet Gynecol 1990;75:202-205
  • 22. Lange IR etal: Twin with hydramnios; Treating premature labor at source. Am J Obstet Gynecol 1989;160: 552-557

İkiz-ikize transfüzyon sendromunun tedavisinde tek bir amnioredüksiyon + septostominin tedavisindeki yeri : Olgu sunumu

Year 2004, Volume: 35 Issue: 2, 75 - 78, 01.03.2004

Ayşe Gürbüz Haliloğlu Berna Gürbüz Aydın Gaziyiz Göknur Öztürk

Abstract

Biz ciddi bir ikiz-ikize transfüzyon sendromu olgusunda yaptığımız amnioredüksiyonla kombine olarak ikizler arası membranın delinmesi (septostomi) girişimi hakkındaki deneyimimizi bildirdik. Olgumuzda fetüslerden birinde mesane görüntülenememekte ve anhidramnios gelişmişken (sıkışmış ikiz), diğer fetüste büyük bir mesane ve polihidramnios mevcut idi. Biz yaptığımız girişim sonrası gebeliğin sonucunu gözlemledik. Sonuç olarak uyguladığımız (prosedürün septostomi+ amnioredüksiyon) bu sendromun tedavisinde basit ve güvenli bir metod olduğunu düşünmekteyiz.

Keywords

Fetofetal transfüzyon Mesane

References

  • 1. Denbow M, et al: Placental angioarchitecture in monochorionic twin pregnancies: Relationship to fetal growth, feto-fetal transfusion syndrome and pregnancy outcome. Am J Obstet Gynecol 2000;182:417-426. 2. Machin G, Still K, Lalani T: Correlations of placental vascular anatomy and clinical outcomes in 69 monochorionic twin pregnancies. Am J Med Genet 1996;61:229-236
  • 3. Bajoria R, Wigglesworth J, Fisk NM: Angioarchitecture of monochorionic placentas in relation to the twin-twin transfusion syndrome. Am J Obstet Gynecol 1995;172:856-863
  • 4. Sebire N et al: The hidden mortality of monochorionic twin pregnancies. Br J Obstet Gynaecol 1997;104:1203-1207
  • 5. Fisk NM and Taylor MJO. The fetus with twin-twin transfusion syndrome.In Harrison MR, Evans MI eds. The unborn patient. Third edition Philadelphia: W.B. Saunders Company 2001; 341-355. 6. Johnson JR, Rossi KQ, O'Shaughnessy RW: Amnioreduction versus septostomy in twin-twin transfusion syndrome. Am f Obstet Gynecol Nov; 2001;185:1044-7
  • 7. Saade GR, Belfort MA, Berry DL et al.Amniotic septostomy for the treatment of twin oligo-hidramnios-polyhydramnioş sequence. Fetal Diagn Ther 1998;13: 86-93
  • 8. Pistorius LR, Howarth GR. Failure of amniotic septostomy in the management of 3 subsequent cases of severe previable twin-twin transfusion syndrojne. Fetal Diagn Ther 1999:14:337-40
  • 9. Suzuki S, Ishikawa G, Sava R, Yoneyama Y, Otsubo Y,Araki T. Iatrogenie monoamniotic twin gestation with progressive twin-twin transfusion syndrome. Fetal Diagnose Ther 1999:14:98-101 10. Hartung J, Chaoui R, Bollmann R. Amniotic fluid pressure in both cavities of twin-twin transfusion syndrome: a vote against septostomy
  • Fetal Diagnose Ther 2000:15:79-82 11. Adegbite AL, Ward SB, Bajoria R. Perinatal outcome following amniotic septostomy chronic TTTS is independent of placental angioarchitecture
  • J Perinatol 2003:23:498-503 12. Hecher K, Plath H, Brezenger T, Hansmann M, Hackeloer Bf: Endoscopic laser surgery versus serial amniocenteses in the treatment of severe twin-twin transfusion syndrome. Am J Obstet Gynecol 1999:180:717-24 13. Quintero RA, Dickinson J, Morales WJ, Bornick PW, Bermudez C, Cincotta R, ChanFY, Allen MH. Stage-based treatment of twin-twin transfusion syndrome. Am J Obstet Gynecol 2003;188:1333- 40
  • 14. Mari G, Detti L, Oz U, Abuhamad AZ: Long term outcome in twin-twin transfusion syndrome treated with serial aggressive amnioreduction. Am J Obstet Gynecol 2000:183:211-7
  • 15. Ville Y, Hecher K, GagnonA, Sebire N, HyettJ, Nicolaides K. Br J Obstet Gynecol 1998:105:446-53
  • 16. Ville Y, Van Peborgh P, GagnonA, Frydman R, Fernandez H. Surgical treatment of twin-twin transfusion syndrome: coagulation of anastomoses with a Nd:YAG laser, under endosonographic control. Forty four cases. J Gynecol Obstet Biol Reprod 1997:26:175-81
  • 17. Banek CS, Hecher K, Hackeloer BJ, Bartmann P. Long-term neurodevelopmental outcome after intrauterin laser treatment for severe twin-twin transfusion syndrome. Am J Obstet Gynecol 2003:188:876-80
  • 18. Stone CA, Quinn MW, Saxby PJ. Congenital skin loss following Nd:YAG placental photocoagulation. Burns 1998:24:275-7
  • 19. Lundvall L, Skibsted L, Graem N. Limb necrosis associated with twin-twin transfusion syndrome treated with YAG-laser coagulation. Acta Obstet Gynecol Scand 1999:78:349-50 20. Hubinont C, Bernard P, Pirot N, BiardJ, Donnez J: Twin- to- twin transfusion syndrome: treatment by amniodrainage and septostomy. Eur J Obstet Gynecol Reprod Biol 2000; 92:141-4
  • 21. Kirshon B, Mari G, Moise KJR: Indomethacin therapy in the treatment of symptomatic polyhydramnios. Obstet Gynecol 1990;75:202-205
  • 22. Lange IR etal: Twin with hydramnios; Treating premature labor at source. Am J Obstet Gynecol 1989;160: 552-557
There are 17 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Ayşe Gürbüz This is me

Haliloğlu Berna This is me

Gürbüz Aydın This is me

Gaziyiz Göknur Öztürk This is me

Publication Date March 1, 2004
Published in Issue Year 2004 Volume: 35 Issue: 2

Cite

APA Gürbüz, A., Berna, H., Aydın, G., Öztürk, G. G. (2004). İkiz-ikize transfüzyon sendromunun tedavisinde tek bir amnioredüksiyon + septostominin tedavisindeki yeri : Olgu sunumu. Zeynep Kamil Tıp Bülteni, 35(2), 75-78. https://doi.org/10.16948/zktb.63536
AMA Gürbüz A, Berna H, Aydın G, Öztürk GG. İkiz-ikize transfüzyon sendromunun tedavisinde tek bir amnioredüksiyon + septostominin tedavisindeki yeri : Olgu sunumu. Zeynep Kamil Tıp Bülteni. March 2004;35(2):75-78. doi:10.16948/zktb.63536
Chicago Gürbüz, Ayşe, Haliloğlu Berna, Gürbüz Aydın, and Gaziyiz Göknur Öztürk. “İkiz-Ikize transfüzyon Sendromunun Tedavisinde Tek Bir amnioredüksiyon + Septostominin Tedavisindeki Yeri : Olgu Sunumu”. Zeynep Kamil Tıp Bülteni 35, no. 2 (March 2004): 75-78. https://doi.org/10.16948/zktb.63536.
EndNote Gürbüz A, Berna H, Aydın G, Öztürk GG (March 1, 2004) İkiz-ikize transfüzyon sendromunun tedavisinde tek bir amnioredüksiyon + septostominin tedavisindeki yeri : Olgu sunumu. Zeynep Kamil Tıp Bülteni 35 2 75–78.
IEEE A. Gürbüz, H. Berna, G. Aydın, and G. G. Öztürk, “İkiz-ikize transfüzyon sendromunun tedavisinde tek bir amnioredüksiyon + septostominin tedavisindeki yeri : Olgu sunumu”, Zeynep Kamil Tıp Bülteni, vol. 35, no. 2, pp. 75–78, 2004, doi: 10.16948/zktb.63536.
ISNAD Gürbüz, Ayşe et al. “İkiz-Ikize transfüzyon Sendromunun Tedavisinde Tek Bir amnioredüksiyon + Septostominin Tedavisindeki Yeri : Olgu Sunumu”. Zeynep Kamil Tıp Bülteni 35/2 (March 2004), 75-78. https://doi.org/10.16948/zktb.63536.
JAMA Gürbüz A, Berna H, Aydın G, Öztürk GG. İkiz-ikize transfüzyon sendromunun tedavisinde tek bir amnioredüksiyon + septostominin tedavisindeki yeri : Olgu sunumu. Zeynep Kamil Tıp Bülteni. 2004;35:75–78.
MLA Gürbüz, Ayşe et al. “İkiz-Ikize transfüzyon Sendromunun Tedavisinde Tek Bir amnioredüksiyon + Septostominin Tedavisindeki Yeri : Olgu Sunumu”. Zeynep Kamil Tıp Bülteni, vol. 35, no. 2, 2004, pp. 75-78, doi:10.16948/zktb.63536.
Vancouver Gürbüz A, Berna H, Aydın G, Öztürk GG. İkiz-ikize transfüzyon sendromunun tedavisinde tek bir amnioredüksiyon + septostominin tedavisindeki yeri : Olgu sunumu. Zeynep Kamil Tıp Bülteni. 2004;35(2):75-8.