Supplementary Material for: Disentanglement of Discordant Monochorionic-Monoamniotic Twins in a Triplet Pregnancy: An Innovative Approach Utilizing Fetoscopic Laser Coagulation with Micro-Laparoscopic Scissor Dissection

Triplet gestations are associated with high perinatal morbidity.
Dichorionic-diamniotic triplet pregnancies with growth discordance,
polyhydramnios and structural anomalies carry a significantly increased
risk of fetal morbidity and mortality from the baseline risks of
high-order multiple pregnancies. Intrauterine fetal death of one fetus
of a monochorionic pregnancy may cause neurological injury to the
surviving fetus. We present a case where an innovative technique was
created combining use of the fetoscopic laser and miniature laparoscopic
instruments to selectively reduce and disentangle the umbilical cord of
the acranial growth-restricted fetus from the structurally normal
fetus's umbilical cord in a dichorionic-diamniotic triplet pregnancy.