Objective To document perinatal outcomes following use of the 'Solomon technique' in the selective photocoagulation of placental anastomoses for severe twin-twin transfusion syndrome (TTTS). Methods (adjusted odds ratio (aOR), 11.35 (95% CI,; P = 0.0007) and overall neonatal survival rate (aOR, 4.65 (95% CI,

Fetal intervention and fetal renal function were independently associated with postnatal survival of fetuses with LUTO. A classification based on the severity of disease is proposed. Copyright © 2015 ISUOG. Published by John Wiley & Sons Ltd.

Compared to single-layer closure of spina bifida, three-layer closure preserves the fetal and obstetric benefits of fetoscopic repair, and shows reduced rate of cerebrospinal fluid leakage at birth and increased rate of reversal of hindbrain herniation 6 weeks postoperatively. What are the clinical implications of this work? Groups contemplating embarking on a program to offer fetoscopic repair of spina bifida should focus on performing a multilayer closure as opposed to a single-layer closure.