Fetoscopic Release of Amniotic Band Syndrome

Minella, Chris; Costantino, Benedicte; Ruano, Rodrigo; Koch, A.; Weingertner, Anne Sophie; Favre, R.; Sananès, Nicolas

doi:10.1002/jum.15480

Cited by 17 publications

(19 citation statements)

References 36 publications

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“…The results of fetoscopic amniotic band release in the limbs are encouraging. Extremity function was preserved in 75% of the published cases with detailed results reported 9,10 . The success rate here is related to preserving the extremity function.…”

Section: Discussionmentioning

confidence: 63%

Fetoscopic surgery for amniotic band syndrome: Case series

Doğru

Acar

2022

Congenital Anomalies

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We aimed to evaluate the fetoscopic procedure indications, procedure-related complications, and neonatal outcomes in cases diagnosed with amniotic band syndrome (ABS). Stage II and III cases according to Hüsler classification were included for fetoscopic surgery. Scissors were used to release the amniotic band in six cases, and a diode laser was used in one case. A single entry was made in all cases. The majority of the children acquired a functional limb (71.4%). Fetal morbidity was mainly linked to the consequences of preterm premature rupture of the membranes (57.1%) and preterm birth (28.5%). Excluding complicated cases, fetoscopic band release is encouraging in cases of ABS in the limbs.

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Section: Discussionmentioning

confidence: 63%

Fetoscopic surgery for amniotic band syndrome: Case series

Doğru

Acar

2022

Congenital Anomalies

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“…Recovery therapy following an intrauterine diagnosis of ABS has been reported. [37][38][39][40] A recent study showed that the fetoscopic release of an amniotic band using a laser and/or scissors effectively prevented the amputation of and dysfunctions in the fetal limbs and digits in cases of ABS 41 ; however, it was also associated with a risk of the premature rupture of membranes ranging from 38 to 57%. 40,42 However, fetoscopic amniotic band release surgery is technically difficult and the number of institutions capable of performing it is small.…”

Section: Discussionmentioning

confidence: 99%

Disseminated intravascular coagulation complicated by amniotic band syndrome associated with deceased fetal umbilical cord following fetoscopic laser surgery

Ogoyama

Takahashi

Kagawa

et al. 2022

J of Obstet and Gynaecol

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Fetoscopic laser surgery occasionally causes amniotic band syndrome, in which the disrupted amniotic membrane constricts fetal body parts, leading to functional or morphological loss. We report a case of fetal distress at 31 weeks of gestation in the larger surviving twin after fetoscopic laser surgery for selective intrauterine growth restriction, necessitating emergent cesarean section. Physical examination of the infant showed constriction rings caused by a disrupted amniotic membrane on the digits, and the distal part of the right index finger was necrotic because of tight strangulation by an amniotic band with the umbilical cord of the deceased smaller twin. Laboratory data showed severe coagulopathy, and the infant was diagnosed with disseminated intravascular coagulation (DIC). Immediate treatment improved his condition. DIC may have been associated with the necrotic finger, which was strangulated by the umbilical cord of the deceased fetus, because neither maternal coagulopathy nor an underlying neonatal disorder was detected.

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“…There are case reports describing fetoscopic surgery in patients with ABS, with the intervention conferring a good prognosis [ 14 , 15 ]. However, fetoscopic surgery can cause complications such as uterine bleeding and preterm rupture of membranes.…”

Section: Discussionmentioning

confidence: 99%

Amniotic band syndrome in a monochorionic diamniotic twin pregnancy after rupture of the dividing membrane in the early second trimester: A case report

Nakashima

Iizuka

Kagami

et al. 2021

BMC Pregnancy Childbirth

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Background Amniotic band syndrome is a rare phenomenon, but it can result in serious complications. We report herein our experience of amniotic band syndrome in a monochorionic diamniotic twin pregnancy where rupture of the dividing membrane occurred early in the second trimester. Case Presentation A 29-year-old nulliparous woman was referred to us for management of her monochorionic diamniotic twin pregnancy at 10 weeks of gestation. When we were unable to identify a dividing membrane at 15 weeks of gestation using two-dimensional ultrasonography, we used three-dimensional ultrasonography to confirm its absence. Both modalities showed that the left arm of baby B was swollen and attached to a membranous structure originating from the placenta at 18 weeks of gestation. Tangled umbilical cords were noted on magnetic resonance imaging at 18 weeks of gestation. Emergency cesarean delivery was performed at 30 weeks of gestation because of the nonreassuring fetal status of baby A. The left arm of baby B had a constrictive ring with a skin defect. Both neonates had an uncomplicated postnatal course and were discharged around 2 months after delivery. Conclusions Attention should be paid to the potential for amniotic band syndrome if rupture of the dividing membrane between twins is noted during early gestation.

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Fetoscopic Release of Amniotic Band Syndrome

Cited by 17 publications

References 36 publications

Fetoscopic surgery for amniotic band syndrome: Case series

Fetoscopic surgery for amniotic band syndrome: Case series

Disseminated intravascular coagulation complicated by amniotic band syndrome associated with deceased fetal umbilical cord following fetoscopic laser surgery

Amniotic band syndrome in a monochorionic diamniotic twin pregnancy after rupture of the dividing membrane in the early second trimester: A case report

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