Fetoscopic release of umbilical cord amniotic band in a human fetus

Abstract

Umbilical cord amniotic bands occur in approximately

Perinatal outcome after fetoscopic release of amniotic bands: a single‐center experience and review of the literature

“…In these two cases the amniotic bands were released successfully under ultrasound guidance 6 . Postoperative subchorionic bleeding and membrane separation, with amniotic fluid loss within the first 24 hours after surgery, seem to be directly related to this procedure 5,18 . PPROM has been reported to occur more frequently (57%) in cases of ABS than in those involving fetal endoscopic tracheal occlusion (FETO) or laser therapy for twin-twin transfusion syndrome in which membrane rupture occurs in 35% and 21% of cases, respectively 19,20 .…”

Constriction of the Umbilical Cord by an Amniotic Band Leading to Fetal Demise

“…Kanayama et al [3] described the reversal of diastolic flow observed in a fetus with umbilical cord constriction due to amniotic bands. It is in cases like these that foetoscopic lysis of amniotic bands can be lifesaving [4].…”

Amniotic band attached to fetal head –a rarest site of amniotic band presentation causing umbilical cord strangulation and fetal demise: case report

“…Antenatal diagnosis of ABS is frequently difficult and is accurately diagnosed in only 29% to 50% of cases [6].Once diagnosed sonographically,umbilical cord constriction may be amenable to foetoscopic release in an attempt to avert fetal death. Fetoscopic release of umbilical cord amniotic band using YAG laser fibre has been reported [2]. …”

“…Amniotic bands occur in 1 of every 1,200-15,000 births and are demonstrable in1-2% of malformed infants [1].Nearly 10% of cases include umbilical cord strangulation [2].Here we report an unusual case of amniotic band syndrome were the amniotic band was attached to fetal head and the twisting of umbilical cord around this fibrous band lead to decrease fetal movement,fetal distress ultimately leading to fetal demise in second trimester, at 23 weeks.…”