{
  "abstract": "We successfully performed a fetoscopic laser ablation (FLA) followed by amniopatch immediately after spontaneous preterm premature rupture of the membranes (PPROM) occurred in a 23‐week monochorionic‐diamniotic twin pregnancy complicated by Stage II twin‐to‐twin transfusion syndrome (TTTS). Since the severe polyhydramnios‐anhydramnios sequence was still observed after spontaneous PPROM, we established an emergent multidisciplinary meeting and consulted the hospital Fetal Ethical Boards. After multidisciplinary consensus and ethical approval, the procedure was successfully performed on the same day without complications. On Postoperative Day 1, no more leakage of fluid was observed. The patient had an uncomplicated course during the entire pregnancy, with complete resolution of the TTTS and the PPROM. At 34 weeks' gestation, she delivered two healthy twins by cesarean section. The infants are now 4 years old with complete normal neurological development. In conclusion, we demonstrate that FLA with amniopatch is a feasible option in specific cases of TTTS with preoperative PPROM.",
  "abstract_shown": true,
  "affiliations": [
    "Division of Maternal‐Fetal Medicine, Department of Obstetrics, Gynecology & Reproductive Sciences University of Miami Miller School of Medicine and Jackson Memorial Hospital Miami Florida USA",
    "Division of Maternal‐Fetal Medicine Valleywise Comprehensive Health Center/Valleywise Health Medical Center Phoenix Arizona USA",
    "Department of Obstetrics & Gynecology, Azienda Sanitaria Locale di Reggio Emilia Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Reggio Emilia Reggio Emilia Italy"
  ],
  "article_type": "case study",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Rodrigo Ruano",
      "orcid": "0000-0002-3642-5858"
    },
    {
      "affs": [
        1
      ],
      "name": "Kavita Narang",
      "orcid": "0000-0002-0270-3610"
    },
    {
      "affs": [
        2
      ],
      "name": "Gabriele Tonni",
      "orcid": "0000-0002-2620-7486"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7jj00ac753x5j.bib",
  "cited_by": 0,
  "doi": "10.1111/jog.70542",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13732795/",
  "id": "7jj00ac753x5j",
  "issns": [
    "1341-8076",
    "1447-0756"
  ],
  "landing_url": "https://doi.org/10.1111/jog.70542",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2735|Assisted Reproductive Technology and Twin Pregnancy"
    ]
  ],
  "openalex": "W7225275980",
  "pdf_url": "https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jog.70542",
  "pmcid": "PMC13732795",
  "pmid": "42980121",
  "published": "2026-11-04",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/7jj00ac753x5j.ris",
  "sources": [
    {
      "first_seen": "2026-11-08T12:22:42Z",
      "native_id": "PMC13732795",
      "source": "pmc",
      "url": "https://doi.org/10.1111/jog.70542"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2735|Assisted Reproductive Technology and Twin Pregnancy",
      "subfield": "reproductive-child"
    }
  ],
  "title": "Fetoscopic Treatment of Twin‐to‐Twin Transfusion Syndrome After Spontaneous Preoperative Preterm Premature Rupture of the Membranes",
  "title_text": "Fetoscopic Treatment of Twin‐to‐Twin Transfusion Syndrome After Spontaneous Preoperative Preterm Premature Rupture of the Membranes",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:22:42Z",
  "url": "https://research.draconitic.com/paper/7jj00ac753x5j",
  "venue": "The Journal of Obstetrics and Gynaecology Research",
  "versions": []
}