{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:12:42Z","timestamp":1789625562278,"version":"build-2803163510"},"reference-count":14,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2019,12,10]],"date-time":"2019-12-10T00:00:00Z","timestamp":1575936000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2019,12,10]],"date-time":"2019-12-10T00:00:00Z","timestamp":1575936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fetal Diagn Ther"],"published-print":{"date-parts":[[2020]]},"abstract":"<b><i>Introduction:<\/i><\/b> Postoperative membrane separation is a complication of selective laser photocoagulation of communicating vessels (SLPCV) for the treatment of twin-twin transfusion syndrome (TTTS). <b><i>Objective:<\/i><\/b> The aim of this work was to determine whether a quantitative grading system of membrane separation following SLPCV was associated with preterm premature rupture of membranes (PPROM) and preterm delivery (PTD). <b><i>Methods:<\/i><\/b> Patients with membrane separation after SLPCV on postoperative day 1 were stratified into greatest width of separation &#x3c;1 cm (Group A) or \u22651 cm (Group B) and compared to patients without separation by the following outcomes: PPROM \u226421 postoperative days, PTD &#x3c;28 gestational weeks, and PTD &#x3c;32 gestational weeks. <b><i>Results:<\/i><\/b> Of 654 patients, 123 (18.8%) had membrane separation. Of these, 120 patients were eligible for study and divided into Groups A (<i>n<\/i> = 91) and B (<i>n<\/i> = 29). Multiple logistic regression analysis yielded associations with PPROM \u226421 days for Groups B (OR 8.60, 95% CI 3.38\u201321.90, <i>p<\/i> &#x3c; 0.0001) and A (OR 2.39, 95% CI 1.05\u20135.40, <i>p<\/i> = 0.0369) compared to those without membrane separation. In similar models, Group B was associated with PTD &#x3c;32 weeks (OR 2.41, 95% CI 1.10\u20135.28, <i>p<\/i> = 0.0274). <b><i>Conclusion:<\/i><\/b> Postoperative membrane separation was associated with an increased risk of PPROM \u226421 days. Membrane separation \u22651 cm had a higher risk of PTD &#x3c;32 weeks.<\/jats:p>","DOI":"10.1159\/000504361","type":"journal-article","created":{"date-parts":[[2019,12,10]],"date-time":"2019-12-10T22:00:39Z","timestamp":1576015239000},"page":"307-314","source":"Crossref","is-referenced-by-count":18,"title":["Membrane Separation and Perinatal Outcomes after Laser Treatment for Twin-Twin Transfusion Syndrome"],"prefix":"10.1159","volume":"47","author":[{"given":"Madushka\u00a0Y.","family":"De\u00a0Zoysa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew\u00a0H.","family":"Chon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa\u00a0M.","family":"Korst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arlyn","family":"Llanes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramen\u00a0H.","family":"Chmait","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2019,12,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7200292"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.02.001"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1159\/000098712"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1038\/pr.2015.105"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002\/pd.4014"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002\/uog.14936"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181d57335"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1159\/000472713"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.05.025"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1159\/000074266"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.33.7.1147"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7210753"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1620268"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1571202"}],"container-title":["Fetal Diagnosis and Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/504361","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/504361","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:10:04Z","timestamp":1745424604000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000504361"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,10]]},"references-count":14,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,4,7]]},"published-print":{"date-parts":[[2020,4,22]]}},"URL":"https:\/\/doi.org\/10.1159\/000504361","archive":["Portico"],"relation":{},"ISSN":["1015-3837","1421-9964"],"issn-type":[{"value":"1015-3837","type":"print"},{"value":"1421-9964","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,10]]}}}