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<jats:list-item>\n                        <jats:p>We thank the letter authors for their interest in our work.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>We agree that this report fits well into a framework for the development of simulation in order to teach fetoscopic laser management of twin to twin transfusion syndrome.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Current studies are underway at our center in order to validate the utility of the simulator in teaching this important surgical skill.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  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