Placental Abruption after Fetoscopic Laser Surgery in Twin-Twin Transfusion Syndrome: The Role of the Solomon Technique

<b><i>Introduction:</i></b> Twin-twin transfusion syndrome (TTTS) is a complication in monochorionic twin pregnancies which preferably treated with fetoscopic laser surgery. A few small studies suggested possible association between the Solomon technique and placental abruption. <b><i>Methods:</i></b> The objective of this study to compare rate explore potential risk factors for abruption TTTS surgery according Selective technique. We conducted large retrospective cohort consecutive TTTS-cases Shanghai, China, Leiden, Netherlands either (Selective group) or (Solomon group). <b><i>Results:</i></b> group versus was 1.7% (5/289) 3.4% (15/441), respectively (<i>p</i> = 0.184). No were identified. Placental associated lower gestational age at birth 0.003) severe cerebral injury 0.003). <b><i>Conclusion:</i></b> prevalence after low, although it appears higher than overall population. birth, injury. not significantly increased use Continued research necessary determine why