Impact of cannula diameter on pregnancy outcomes after minimally invasive fetal laser surgery in the treatment of twin-to-twin transfusion syndrome: A systematic review and meta-analysis.
Anouk Marlon van der SchotJosee L van SteenisEsther SikkelMarc E A SpaandermanJoris van DrongelenPublished in: Acta obstetricia et gynecologica Scandinavica (2024)
This systematic review confirmed PPROM as a frequent complication of fetal laser surgery, with a mean PPROM rate of 22.9%. A larger cannula diameter relates to a significant higher PPROM risk for PPROM before 34 weeks gestation. Hence, the ideal balance between optimal visualization requiring larger port diameters and shorter operation time and more complete procedures that benefit from larger diameters is crucial to reduce iatrogenic PPROM rates.
Keyphrases
- minimally invasive
- systematic review
- pregnancy outcomes
- robot assisted
- coronary artery bypass
- extracorporeal membrane oxygenation
- pregnant women
- meta analyses
- optic nerve
- positive airway pressure
- preterm infants
- cardiac surgery
- high speed
- randomized controlled trial
- surgical site infection
- intensive care unit
- combination therapy
- acute kidney injury