Amniotic septostomy for the treatment of twin oligohydramnios-polyhydramnios sequence.

  title={Amniotic septostomy for the treatment of twin oligohydramnios-polyhydramnios sequence.},
  author={George R. Saade and Michael A. Belfort and David L Berry and T H Bui and Lynn D Montgomery and Anthony J. Johnson and M R O'Day and Gayle L Olson and Helena Lindholm and Lena Garoff and Kenneth J. Moise},
  journal={Fetal diagnosis and therapy},
  volume={13 2},
OBJECTIVE To report our experience with intentional puncture of the intervening membrane ('septostomy') for the treatment of the twin oligohydramnios-polyhydramnios sequence (TOPS). METHODS 12 patients were diagnosed with TOPS based on ultrasonographic findings. A 20- to 22-gauge spinal needle was used to puncture the membrane between the twins without any attempt at amnioreduction in 9 patients, while the procedure was combined with amnioreductions in 3 patients. RESULTS Gestational age… CONTINUE READING

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