The purpose of this study was to evaluate the feasibility of fetoscopic surgery in complicated monochorionic and dichorionic triplet pregnancies. This was a case series of fetoscopic surgery in 12 cases of monochorionic (n = 5) or dichorionic (n = 7) triamniotic triplets complicated by severe feto-fetal transfusion (n = 8), twin reversed arterial perfusion sequence (n = 3), or discordant for an anomaly (n = 1). Six underwent cord occlusion, and 6 had laser coagulation of the vascular anastomoses. All procedures were successfully completed, and the outcome was comparable to that reported for similar procedures in twins. Eighty-three percent of fetuses survived, and 13% had long-term problems. Fetoscopic surgery may be considered as a therapeutic option in complicated triplet pregnancies, with results similar to those found in twins. © 2004 Elsevier Inc. All rights reserved.
Van Schoubroeck, D., Lewi, L., Ryan, G., Carreras, E., Jani, J., Higueras, T., … Gratacos, E. (2004). Fetoscopic surgery in triplet pregnancies: A multicenter case series. American Journal of Obstetrics and Gynecology, 191(5), 1529–1532. https://doi.org/10.1016/j.ajog.2004.06.039