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

9.70

Neuruppin, Germany

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

Gallery

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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.