Re: feto-fetal transfusion
From: art fougner, md (evsono@pipeline.com)
Wed Mar 8 12:13:59 2000
many groups are working on this actually - figured i'd give another
option - not saying that would be the best choice at this time - there
is an ongoing international TTS study ongoing to evaluate which therapy
would be the best.
Art
At Wed, 8 Mar 2000, Braun, R. Daniel wrote:
>
>Isn't that mainly in earlier stages than at 28 weeks? And although Quintero
>is doing it, isn't that DeLia's work?
>
>Dan
>
>R. Daniel Braun, MD FACOG
>Clinical Professor
>Department of Obstetrics and Gynecology
>Indiana U. School of Medicine
>Indianapolis, IN 46202
>
>OBGYN.net
>International Representative for United States
>
>Certified AllExperts Expert
>Check out my bio/ratings page!
>http://www.allexperts.com/displayExpert.asp?Expert36
>
>-----Original Message-----
>From: evsono@pipeline.com [mailto:evsono@pipeline.com]
>Sent: Wednesday, March 08, 2000 11:34 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: feto-fetal transfusion
>
>the other alternative to membrane fenestration would be laser treatment
>of the vascular connections - in the US espoused by R Quintero in
>Florida. this area is one of intense controversy these days.
>
>Art
>
>At Wed, 8 Mar 2000, Braun, R. Daniel wrote:
>>
>>Amen!!
>>All of that was brought out in detail in the discussion that I referred to.
>>Dan
>>
>>R. Daniel Braun, MD FACOG
>>Clinical Professor
>>Department of Obstetrics and Gynecology
>>Indiana U. School of Medicine
>>Indianapolis, IN 46202
>>
>>OBGYN.net
>>International Representative for United States
>>
>>Certified AllExperts Expert
>>Check out my bio/ratings page!
>>http://www.allexperts.com/displayExpert.asp?Expert36
>>
>>-----Original Message-----
>>From: Paul Prior MD [mailto:pprior@earthlink.net]
>>Sent: Tuesday, March 07, 2000 9:38 PM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Re: feto-fetal transfusion
>>
>>On Tue, 7 Mar 2000 20:08:12 -0600, "Braun, R. Daniel"
>><rbraun@iupui.edu> wrote:
>>
>>> The more accepted treatment would be amniocentesis and drainage of the
>>>polyhydramniotic sac.
>>>The more recent would be to make a small pucture in the amnion between the
>>>two sacs. Search the archives of this forum about one year ago for a very
>>>detailed discussion of this topic.
>>
>>More recent, but you would not argue proven improved outcome would
>>you?
>>
>>Serial amnio may need to be performed very frequently and at 28+ weeks
>>I would give steroids and strongly consider delivery if the situation
>>does not stabilize after initial amniocentesis.
>>
>>--
>>Paul Prior MD Get rebates on online purchases - up to 25% cash back.
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>>
>--
>art fougner, md
>
>A series of 1000 cases begins with but a single anecdote.
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
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