Teaching and quality control in fetoscopic surgery

Peters, S.H.P. (2015)

Doctoral Thesis

Fetoscopic surgery is a surgical technique that is used to treat fetus(es) that are still inside the pregnant uterus. Coming years, more fetoscopic surgery will be performed. The most commonly performed procedure is laser surgery for twin-twin transfusion syndrome. This thesis shows learning curves for this procedure and current practice in relation to technical aspects and pregnancy outcomes. We show how to monitor performance and address specific subgroups in which laser surgery can be more complicated. Since teaching and training in fetoscopic surgery is challenging, we create and validate an evidence-based evaluation tool for the laser procedure. To conclude, we develop a standardized training curriculum with a high fidelity simulator model.

• Twin-twin transfusion syndrome
• Simulation
• Training
• Lasertreatment
• Twin pregnancy
• Fetoscopic surgery

• All authors: Peters, S.H.P.
• Supervisor: Oepkes, D.
• Co-supervisor: Lopriore, E.; Middeldorp, J.M.
• Qualification: Doctor (dr.)
• Awarding Institution: Department of Obstetrics, Faculty of Medicine (LUMC), Leiden University
• Date: 2015-05-13
• ISBN (print): 9789461089687
• Sponsorship: Ten Holter Noordam advocaten Stichting IDB te Voorschoten Chipsoft Afdeling Verloskunde LUMC Afdeling Neonatologie LUMC Afdeling Kindergeneeskunde LUMC BMA BV (Mosos) Wetenschapsfonds Hagaziekenhuis Hoytema stichting