{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T16:10:12Z","timestamp":1778602212450,"version":"3.51.4"},"reference-count":31,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jpm-2025-0487_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      This study reviews early unfavorable outcomes following selective\n                      <jats:italic>in-utero<\/jats:italic>\n                      cord occlusion in monochorionic twin pregnancies at risk of hemodynamic accidents by a single operator.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0487_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study analyzed laser ablation (LA), laser transection (LT), radiofrequency ablation (RFA), and bipolar diathermy (BD) procedures performed between 14 and 22\u00a0weeks of gestation from 2006 to 2022. Outcomes included: (1) technical failure (abandonment before cessation of Doppler flow), (2) intraoperative events (hemodynamic instability in the woman or co-twin), and (3) complications (e.g., fluid leakage, infection, abruption, co-twin demise, or miscarriage) within 1\u00a0week post-procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0487_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ten LAs were performed at 14\u201315\u00a0weeks for discordant anomalies, all without complications. Two LTs were conducted at 20\u00a0weeks for umbilical cord knotting; with one procedure experienced technical failure. All twin reversed arterial perfusion sequence (TRAPS) (n=55) received RFA, with one procedure experienced technical failure. All twin-to-twin transfusion syndrome (TTTS) (n=25) received BD, with one procedure experienced technical failure. Selective intrauterine growth restriction (sIUGR) (n=30) received RFA (n=5) and BD (n=25), with 1 RFA (25\u202f%) and 1 BD (4\u202f%) experienced technical failure. (p&lt;0.01) All four technical failure cases had extensive anterior placenta. There were no intraoperative events. McDonald cervical cerclage was performed in 8\/25\u202fTTTS cases with pre-operative cervical length of\u00a0\u226425\u202fmm and\/or funneling of\u00a0the internal cervical os. Early procedure-related complications were experienced in two sIUGR cases receiving BD, both of which had extensive anterior placenta.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0487_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early unfavorable outcomes were associated with sIUGR as an indication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jpm-2025-0487","type":"journal-article","created":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T14:06:07Z","timestamp":1760364367000},"page":"543-549","source":"Crossref","is-referenced-by-count":0,"title":["Early unfavorable outcomes of second-trimester selective feticide for complicated monochorionic twins: single-operator experiences"],"prefix":"10.1515","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7172-053X","authenticated-orcid":false,"given":"Tuangsit","family":"Wataganara","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine , Faculty of Medicine Siriraj Hospital , Bangkok , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katika","family":"Nawapun","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine , Faculty of Medicine Siriraj Hospital , Bangkok , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanokwaroon","family":"Watananirun","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine , Faculty of Medicine Siriraj Hospital , Bangkok , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sommai","family":"Viboonchart","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine , Faculty of Medicine Siriraj Hospital , Bangkok , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suparat","family":"Jaingam","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine , Faculty of Medicine Siriraj Hospital , Bangkok , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nisarat","family":"Phithakwatchara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine , Faculty of Medicine Siriraj Hospital , Bangkok , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"2026051215133568063_j_jpm-2025-0487_ref_001","doi-asserted-by":"crossref","unstructured":"Quarello, E, Molho, M, Ville, Y. 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