Syndrome fetal-fetal transfusion in pregnancy amniotic-tri-bi- chorionic triplets handled like laser guided photocoagulation fetoscope sex. Case report and literature review

Abstract

Syndrome twin-to-twin fetal transfusion complicates up to 15 % of monochorionic pregnancies in the middle of the second trimester and the result is a high perinatal mortality and morbidity if not treated early. Although some humoral factors have a role in the pathophysiology of the disease, an uneven distribution of the placenta and the presence of vascular connections in placental chorionic plate, allowing blood volume changes between fetuses, are the anatomical prerequisite for this complication only for monochorionic twins. In monochorionic pregnancies, It is possible you may identify a subgroup of twin pairs at high risk of developing the syndrome fetal-fetal transfusion or selective intrauterine growth restriction during the course of pregnancy as early as in the I and II quarter earlier. Fetal syndrome fetus to turns into moderate transfusion if there is a discrepancy of amniotic fluid gradually progresses and finally it reaches the stages of severe fetal-fetal transfusion, accurate clinical classification and diagnosis of fetal hemodynamics syndrome, they are crucial to advise parents about treatment options and possible outcomes. For a 27-years-old primiparous with a multiple pregnancy amniotic-tri-bi-chorionic intergemelar triplets and stage III transfusion syndrome occurs, as Quintero (1), in the 2-3 fetuses diagnosed in 22.4 of the week gestation. Operation is carried out with selective photocoagulation and laser sequential communicating vessels. Unencumbered at 28 weeks gestation