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RecruitingTwin to Twin Transfusion SyndromeTwin Anemia-Polycythemia Sequence

Evaluation of Laparotomy With Trans-Amniotic Suture Placement in TTTS Surgery

Eligible age

18+ yrs

Accepts

Women

Locations

1 state

Healthy volunteers

No

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About this study

This is a randomized trial for patients that are diagnosed with Twin-Twin Transfusion Syndrome (TTTS) who are receiving a fetoscopic laser surgery to evaluate the effectiveness and safety of a laparotomy closure.

Sponsor: Children's Hospital Medical Center, Cincinnati

You may qualify if…

  • Diagnosis of TTTS or Twin Anemia-Polycythemia Sequence (TAPS)
  • Gestational age between 18 weeks and 23 weeks (18 0/7 to 22 6/7 weeks)
  • Cervical length \>2.5 cm preoperatively
  • Identification of a safe percutaneous surgical window by a provider experienced in fetoscopic surgery prior to entering the operating room

You may not qualify if…

  • Higher order pregnancies, chromosomal or severe congenital anomalies, undergoing laser surgery for fetal growth restriction only, need for a second laser during pregnancy, failure to complete laser, PPROM prior to surgery. BMI\> 40 at the start of pregnancy, emergent case (i.e. surgery occurs \< 6 hours from presentation), significant fetal anomalies expected to drastically alter the risk of neonatal morbidity or mortality (i.e. anencephaly, cyanotic heart disease), or any significant maternal comorbidities as determined by physician i.e.: clotting disorders/blood disorders.

Where it's recruiting

Ohio

Cincinnati

Source: ClinicalTrials.gov · NCT06991400 · last updated 2025-05-28