Publications by authors named "Pradip D Vijayakumar"
Fetoscopic laser coagulation of arterio-venous anastomoses (AVA) in a monochorionic placenta is the standard of care for twin-twin transfusion syndrome (TTTS), but is technically challenging and can lead to significant complications. Acquiring and maintaining the necessary surgical skills require consistent practice, a critical caseload, and time. Training on realistic surgical simulators can potentially shorten this steep learning curve and enables several proceduralists to acquire procedure-specific skills simultaneously.
View Article and Find Full Text PDFArticle Synopsis
- Managing complicated monochorionic twins and fetal anomalies is challenging in areas without advanced fetal therapy, prompting efforts in rapid selective feticide methods like radiofrequency ablation (RFA) and selective fetoscopic laser photocoagulation (SFLP) to treat twin-to-twin transfusion syndrome (TTTS).
- In a study involving five pregnancies, RFA techniques were quickly learned, while SFLP required a more structured learning approach under the guidance of an experienced proctor, leading to successful live births for most co-twins.
- The experience shows that supervised directed learning can help smaller medical units quickly provide effective fetal therapy services, complementing traditional training methods and enhancing overall team capabilities.