Fetoscopic Release of Amniotic Band Syndrome: An Update

J Ultrasound Med. 2021 May;40(5):1039-1048. doi: 10.1002/jum.15480. Epub 2020 Sep 20.

Abstract

Amniotic band syndrome is a rare condition. There have been few cases reported of fetoscopic band dissection. The aim of this case series is to report 3 cases of fetoscopic treatment for amniotic band syndrome, including indication for surgery, technical aspects, complications and outcomes. Fetoscopic treatment was performed respectively at 23 5/7 , 26 5/7 and 18 3/7 weeks' gestation. Two procedures were performed with a laser fiber through a single trocar whereas one surgery was performed with scissors. In conclusion, fetoscopic release of the amniotic bands in case of amniotic band syndrome is feasible with encouraging results in order to prevent amputation and dysfunction of the extremities.

Keywords: Amniotic band syndrome; fetal therapy; fetoscopy; laser coagulation.

MeSH terms

  • Amniotic Band Syndrome* / diagnostic imaging
  • Amniotic Band Syndrome* / surgery
  • Female
  • Fetofetal Transfusion* / surgery
  • Fetoscopy
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Laser Therapy*
  • Pregnancy