Journal of Health & Medical Informatics

Satoru Nakayama

Publications

• Research Article
  The Treatments of Twin-Twin Transfusion Syndrome in Monochorionic Twin Pregnancies by the Fetoscopic Laser Photocoagulation
  Author(s): Takeshi Murakoshi, Hiroo Naruse, Satoru Nakayama and Yuichi ToriiTakeshi Murakoshi, Hiroo Naruse, Satoru Nakayama and Yuichi Torii
  
   Aims: Fetoscopic laser surgery has been widely accepted of optimal treatment for Twin-Twin Transfusion Syndrome (TTTS) in monochorionic twin pregnancies. To avoid surgical complication and to improve the outcome, various techniques employed in our institution. The aim of our study is to assess the clinical outcomes of TTTS after laser surgery with combined various techniques. Methods: We performed 171 cases of fetoscopic laser surgery for TTTS from 2002 to 2011 in our institution. Various techniques employed in our studies to improve the learning of laser surgery and to achieve successful outcome were; (1) A very thorough mapping of vascular anastomoses before and after ablation; (2) Obliteration of arterio-venous anastomoses from donor to recipient should be done first, (3) Trocar assisted technique using gentle indent the trocar withdrawing the scope shortly, to ablate.. Read More»
  DOI: 10.4172/2157-7420.S11-005

  Abstract PDF