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Fetoscopic Laser Coagulation of Placental Anastomoses for Twin-to-Twin Transfusion Syndrome (TTTS) | Ruppin-Brandenburg University Hospital, Germany

Fetoscopic Laser Coagulation of Placental Anastomoses for Twin-to-Twin Transfusion Syndrome (TTTS) | Ruppin-Brandenburg University Hospital, Germany
9.70

Neuruppin, Germany

5
User ScoreRatingMedia Files
96%9.7/105

Overview

Age group

Adults

Type of care

Outpatient

Method

Microinvasive

About the offer

Fetoscopic laser coagulation of placental anastomoses is a specialized, minimally invasive surgical procedure designed to treat twin-to-twin transfusion syndrome (TTTS) in monochorionic twin pregnancies. TTTS is a serious condition that occurs when twins share a single placenta with abnormal vascular connections, leading to an imbalance in blood flow between the fetuses. One twin becomes a donor, losing too much blood and amniotic fluid, while the other receives excessive blood, putting both at risk of severe complications or death if left untreated. At the Ruppin-Brandenburg University Hospital in Neuruppin, this procedure is performed using an advanced ultra-thin technique with a 1 mm diameter optic. This refinement allows for highly precise laser coagulation of the connecting blood vessels on the placenta. By selectively sealing these vascular connections, the surgery corrects the abnormal blood flow between the twins, stabilizing the pregnancy and significantly improving the chances of survival and healthy development for both fetuses. The use of such an ultra-thin fetoscope reduces the trauma to the uterine wall and minimizes the risk of postoperative complications, particularly premature rupture of membranes, which is a common concern in fetal surgeries. The less invasive nature of this approach contributes to superior neonatal outcomes, as evidenced by internationally recognized results and publications documenting some of the best success rates worldwide. The procedure is primarily offered on an outpatient basis, allowing most patients to return home the same day. However, if needed, overnight accommodation is available either in the hospital’s family room or in a hotel in Berlin, depending on the patient's preference.

What’s included

Medical service

Examination
  • clinical history-taking
  • medical records review
  • physical examination
  • consultation with a gynecologist
Laboratory tests
  • complete blood count (CBC)
  • blood type test (ABO, Rh)
  • biochemical analysis of blood (kidney and liver function tests, electrolytes, glucose, lipid panel)
  • inflammation blood tests
  • coagulation studies
  • urinalysis
Diagnosis
  • gynecological examination
  • ultrasound examination
Treatment
  • preoperative patient preparation
  • fetoscopic laser coagulation of placental anastomoses in monochorionic twin pregnancies with twin-to-twin transfusion syndrome (TTTS) using an ultra-thin technique with a 1 mm optic
  • postoperative care
  • symptomatic treatment
Other
  • cost of essential medicines
  • cost of essential materials
  • outpatient admission
  • nursing service
  • discharge medical records
  • further recommendations

Extra add-ons

Language Assistance
Parking Space
Pastoral Care
Intensive Care Unit
On-Site Pharmacy

AiroCare

AiroMedical support
Payment protection
Patient advocacy
Price match

Meet the provider

Prof. Dr. med. Michael Tchirikov

obstetrics and gynecology, fetal surgery

9.70
Excellent

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Location

Fehrbelliner Str. 38, 16816 Neuruppin, Germany

FAQ

What is Twin-to-Twin Transfusion Syndrome (TTTS)?

TTTS is a serious condition that affects monochorionic twin pregnancies, where the twins share a single placenta. Abnormal blood vessel connections in the placenta cause one twin to transfer blood to the other, leading to health risks for both.

What is fetoscopic laser coagulation?

Fetoscopic laser coagulation is a minimally invasive surgical procedure that seals abnormal vascular connections between twins on the placenta using laser energy. This stops the unbalanced blood flow and stabilizes the pregnancy.

Why is the ultra-thin 1 mm optic technique important?

Using an ultra-thin fetoscope reduces the size of the incision in the uterus, minimizing the risk of complications such as premature rupture of membranes. This approach is associated with better pregnancy outcomes and faster maternal recovery.

How is the procedure performed?

A tiny camera (fetoscope) is inserted into the uterus through a small incision. The surgeon identifies the abnormal blood vessels on the placenta and uses a laser to coagulate and close them. The procedure is performed under local or regional anesthesia, and continuous ultrasound guidance is used.

Is the treatment performed on an outpatient basis?

Yes, in most cases the procedure is performed as an outpatient treatment, and patients can return home the same day. If desired or medically necessary, an overnight stay in a family room or nearby hotel can be arranged.

What are the risks of the procedure?

While fetoscopic laser coagulation is considered the gold standard for TTTS treatment, risks include infection, bleeding, premature rupture of membranes, or preterm labor. However, using the ultra-thin technique significantly reduces these risks.

What are the chances of survival and healthy outcomes for the twins?

Our center follows international best practices and has reported excellent neonatal outcomes with this technique. The majority of treated pregnancies result in at least one healthy surviving twin, and in many cases both twins survive with good developmental prospects.

When is the best time in pregnancy to perform the surgery?

Fetoscopic laser coagulation is usually performed between the 16th and 26th week of pregnancy, depending on the stage and severity of TTTS. Early detection and timely intervention are critical for the best outcomes.

What is the rating of the offer?

Fetoscopic Laser Coagulation of Placental Anastomoses for Twin-to-Twin Transfusion Syndrome (TTTS) | Ruppin-Brandenburg University Hospital, Germany is rated as 9.70 by AiroMedical.

Who is offering a deal?

How long does the offer take?

The offer is designed for 3 days.

What are the age restrictions?

The offer is eligible only for adults.

Can I customize the content of the offer?

Yes, the components of the deal can be changed. Get in touch with a vendor to create a personalized proposal.

Does the offer include extra services?

Individual cost estimate. Non-binding 100% free assessment.

On request

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