Resumen

BERMUDE, Carlos et al. Fetoscopia operatoria: fotocoagulación láser selectiva en el síndrome de transfusión intergemelar. Rev Obstet Ginecol Venez [online]. 2003, vol.63, n.2, pp.101-106. ISSN 0048-7732.

Severe twin-twin transfusion syndrome without treatment presents a virtual mortality of 100 % of both fetuses. Multiple therapeutic options have been described for this disease. Laser photocoagulation of the communicating vessels is the unique treatment able to revert the syndrome preserving the life of the fetuses. We present a case of stage III twin-twin transfusion syndrome with severe maternal complications treated with selective laser photocoagulation of the placental anastomoses. We discuss the utility of this and other therapeutic alternatives.

Palabras clave : Twin-twin transfusion syndrome; Monochorionic placenta.; Placental anastomoses; Fetal therapy.; Fetoscopy. Laser photocoagulation.