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Correspondence
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Volume 333:387-389 August 10, 1995 Number 6
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Twin–Twin Transfusion Syndrome

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 by Ville, Y.
To the Editor: Regarding the article by Ville et al. entitled "Preliminary Experience with Endoscopic Laser Surgery for Severe Twin–Twin Transfusion Syndrome" (Jan. 26 issue),1 the patients in that study had therapeutic amniocentesis performed at the time of laser surgery, and therefore the relative contributions of laser surgery and therapeutic amniocentesis are blurred.

What is most striking about the report is the extraordinary frequency of catastrophic outcomes that appear to have been caused by the laser surgery — namely, fetal death in utero within 24 hours. This occurred in 50 percent of pregnancies (21 of 42, if 3 pregnancies in . . . [Full Text of this Article]

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