{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:28:54Z","timestamp":1761514134562},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Amer J Perinatol"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>\n            Objective\u2003The objective of this study was to assess whether the location of the trocar insertion site for laser treatment of twin-twin transfusion syndrome was associated with preterm-premature rupture of membranes (PPROM) and preterm birth (PTB).<\/jats:p><jats:p>\n            Study Design\u2003In this study trocar location was documented in the operating room. Lower uterine segment (LUS) location was defined as any insertion &lt;10 cm vertically from the pubic symphysis. Lateral location was defined as \u22655 cm horizontally from the midline. Patient characteristics were tested against three outcomes: PPROM\u2009\u2264\u200921 days postoperative, PTB\u2009&lt;\u200928 weeks, and PTB\u2009&lt;\u200932 weeks. For each outcome, multiple logistic models were fitted to examine the effect of trocar location, controlling for potential risk factors.<\/jats:p><jats:p>\n            Results\u2003A total of 743 patients were studied. Patients with LUS location were twice as likely as those with a more superior location to have PPROM\u2009\u2264\u200921 days (OR\u2009=\u20092.33, 1.12\u20134.83, p\u2009=\u20090.0236). Patients with both a LUS and Lateral location were over six times more likely to have PPROM\u2009\u2264\u200921 days (OR\u2009=\u20096.66, 2.36\u201318.78, p\u2009=\u20090.0003). Trocar insertion site was not associated with PTB.<\/jats:p><jats:p>\n            Conclusion\u2003We found that trocar insertion in the LUS, particularly the lateral LUS, was associated with an increased risk of PPROM.<\/jats:p>","DOI":"10.1055\/s-0037-1620268","type":"journal-article","created":{"date-parts":[[2018,1,10]],"date-time":"2018-01-10T23:34:56Z","timestamp":1515627296000},"page":"801-808","source":"Crossref","is-referenced-by-count":13,"title":["Risks of Preterm Premature Rupture of Membranes and Preterm Birth Post Fetoscopy Based on Location of Trocar Insertion Site"],"prefix":"10.1055","volume":"35","author":[{"given":"Andrew","family":"Chon","sequence":"first","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Southern California, Keck School of Medicine, Pasadena, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Korst","sequence":"first","affiliation":[{"name":"Childbirth Research Associates, North Hollywood, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arlyn","family":"Llanes","sequence":"first","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Southern California, Keck School of Medicine, Pasadena, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eftichia","family":"Kontopoulos","sequence":"first","affiliation":[{"name":"Florida International University, Herbert Wertheim School of Medicine, Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruben","family":"Quintero","sequence":"first","affiliation":[{"name":"Florida International University, Herbert Wertheim School of Medicine, Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramen","family":"Chmait","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Southern California, Keck School of Medicine, Pasadena, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,1,10]]},"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0037-1620268.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,6,18]],"date-time":"2018-06-18T22:44:07Z","timestamp":1529361847000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0037-1620268"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,10]]},"references-count":0,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2018,6,18]]},"published-print":{"date-parts":[[2018,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0037-1620268","relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,10]]}}}