Essentia Medicals

TTTS (Twin-to-Twin Transfusion Syndrome) Laser Treatment in Delhi

Advanced, Minimally Invasive & Trusted TTTS Care from Delhi’s Top Fetal Medicine Experts.

  • Treats the root cause
  • Higher survival rates
  • Reduces neurological risks
  • Permanent solution
  • Minimally invasive procedure
  • Improves pregnancy outcomes
  • Globally accepted gold standard

97%+

Success Rate

12+

Experience Years

13000+

Happy Patients

What Is TTTS (Twin-to-Twin Transfusion Syndrome) treatment?

Twin-to-Twin Transfusion Syndrome (TTTS) is a serious pregnancy issue that can happen in identical (monochorionic) twin pregnancies. This occurs when the babies share a placenta. In TTTS, abnormal blood vessel connections in the placenta lead to one twin, the donor, giving away too much blood and nutrients to the other twin, the recipient.
 

This imbalance can put both babies’ lives at risk if left untreated.

The main aim of treatment is to:

  • Balance the blood and fluid levels between twins

  • Protect the health of both babies

  • Prolong pregnancy for better survival and outcomes

How Laser Treatment Helps in TTTS (Twin-to-Twin Transfusion Syndrome)

Laser treatment, also called Fetoscope Laser Photocoagulation (FLP), is the most effective treatment for TTTS. It works by sealing the abnormal blood vessel connections in the shared placenta that create the imbalance between the twins.
 

By correcting the root cause, laser treatment helps:

  • Restore a healthy and balanced blood flow for both twins

  •  Improve survival rates (around 70–80% for at least one twin, ~60% for both)

  •  Reduce the risk of brain injury, heart strain, and long-term complications

  •  Provides a permanent solution (usually a one-time procedure)

  •  Ensure a safer pregnancy with better chances of carrying twins to later weeks

  •  Offer a minimally invasive, globally recommended approach

Essentia Medicals offers advanced laser treatment for TTTS (Twin-to-Twin Transfusion Syndrome) in Delhi — providing safe, minimally invasive, and lasting results twins. Take the first step towards a healthier pregnancy today!

Benefits of Laser Treatment for TTTS (Twin-to-Twin Transfusion Syndrome)

Feature

Laser Treatment

Traditional Surgery

Invasiveness

Addresses Root Cause 

Survival Rates 

Recurrence Risk 

Neurological Risks 

Scarring

Hospital Stay 

Pain / Discomfort 

Long-Term Outcome 

Global Standard 

Minimally Invasive

Yes

Higher

Very Low

Lower

Minimal

Short

Very Low 

Better quality of life

 Recommended worldwide

Cut

No

Lower

High

Higher

More 

May require multiple visits

Moderate

Moderate

Considered supportive

Causes of TTTS (Twin-to-Twin Transfusion Syndrome)

Early identification of these symptoms can avert complications and improve outcomes. The symptoms of TTTS can vary, but some common indicators include:

Shared Placenta

TTTS occurs only in identical twins who share a single placenta (monochorionic twins).

Abnormal Blood Vessel Connections

The placenta develops interconnected blood vessels (anastomoses) between the twins’ circulations.

Unequal Blood Flow

Some of these vessels allow unbalanced blood transfer from one twin (the donor) to the other (the recipient).

Placental Distribution Imbalance

The placenta may be unevenly shared, giving one twin a smaller portion with fewer nutrients and blood supply.

Progressive Circulatory Imbalance

Over time, the donor twin loses too much blood and amniotic fluid, while the recipient twin gets overloaded, leading to heart strain, excess fluid, and risks for both babies.

Symptoms of TTTS (Twin-to-Twin Transfusion Syndrome)

Early identification of these symptoms can avert complications and improve outcomes. The symptoms of TTTS can vary, but some common indicators include:

Rapid Abdominal Growth

The mother’s belly may enlarge quickly due to excess amniotic fluid around the recipient twin.

Sudden Maternal Weight Gain

Noticeable weight gain within a short period of time caused by fluid buildup.

Abdominal Discomfort or Pressure

Excess fluid can lead to tightness, bloating, or difficulty breathing.

Decreased Fetal Movement

The donor twin may move less because of reduced blood and nutrient supply.

Signs of Preterm Labor

Cramps, uterine tightening, or contractions may appear earlier than expected.

Consult With an TTTS(Twin-to-Twin Transfusion Syndrome) Specialist in Delhi

Talk to our top fetal medicine specialists in Delhi for advanced TTTS treatment and give your twins the best chance at a healthy future.

Stages of TTTS (Twin-to-Twin Transfusion Syndrome)

Doctors classify TTTS into five stages based on ultrasound findings and severity:

Stage I

  • Donor twin: Low amniotic fluid (oligohydramnios)

  • Recipient twin: Excess amniotic fluid (polyhydramnios)

  • Both twins’ bladders are still visible

Stage II

  • Donor twin’s bladder is not visible on ultrasound (not producing enough urine)

  • Recipient twin still shows excess fluid

Stage III

  • Abnormal blood flow patterns detected in one or both twins using Doppler ultrasound

  • Indicates serious circulation problems

Stage IV

  • Recipient twin develops hydrops (fluid buildup/swelling in organs or body due to heart strain)

  • Condition is now severe and life-threatening

Stage V

  • One or both twins may not survive due to severe imbalance and complications

Treatments for TTTS (Twin-to-Twin Transfusion Syndrome)

There are different treatment options available, from medications to advanced, non-surgical procedures.

Amnioreduction (Amnio drainage) – Non-Surgical Best Non-Surgical Option

  • Excess amniotic fluid is carefully drained from the recipient twin’s sac

  • Relieves uterine pressure, improves circulation, and reduces risk of preterm labor

  • Provides immediate relief for the mother and babies

  • Can be repeated if needed

  • Considered the best non-surgical treatment for TTTS.

Septostomy (Less Common)
  • Small hole created in the dividing membrane to equalize fluid levels

  • Rarely used today due to higher risks and limited benefits

Fetoscope Laser Photocoagulation (FLP)Laser Surgery
  • Seals abnormal blood vessel connections in the placenta

  • Corrects the root cause of TTTS

  • Considered the gold standard for Stage II–IV TTTS

  • Higher survival rates and long-term benefits

Early Delivery
  • In late pregnancy (after ~28–30 weeks), early delivery may be safest

  • Babies are cared for in NICU if premature

FAQs on Laser Treatment for TTTS (Twin-to-Twin Transfusion Syndrome)

Laser treatment, also called Fetoscopy Laser Photocoagulation (FLP), is a minimally invasive procedure where a tiny camera and laser fiber are inserted into the womb to seal abnormal blood vessel connections in the shared placenta.

Laser surgery addresses the root cause of TTTS by blocking the abnormal blood flow between the twins. Unlike amnioreduction (fluid drainage), which only manages symptoms, laser treatment offers a permanent solution with higher survival rates.

Yes. It is a safe and effective procedure when performed by experienced fetal medicine specialists. Like all procedures, there are risks, but overall it significantly improves the chances of both babies surviving and reduces long-term complications.

Laser treatment is typically advised for moderate to severe cases (Stage II–IV). In Stage I, close monitoring or non-surgical treatments may be enough.

On average:

  • 70–80% chance of at least one twin surviving

  • 50–60% chance of both twins surviving

  • Reduced risk of neurological complications compared to other methods

Most mothers are discharged within 24–48 hours. Regular follow-up scans are needed to monitor the babies, but recovery is usually quick and comfortable.

At Essentia Medicals, we provide advanced laser and non-surgical treatments for TTTS, ensuring the safest outcomes for both mother and twins.

No. The procedure is performed under local or regional anesthesia, so mothers usually feel minimal discomfort during the surgery.

The procedure usually lasts 1–2 hours, depending on the placenta and blood vessel complexity.

In most cases, no. Since laser seals the abnormal vessels, TTTS rarely returns. However, close monitoring is still needed to watch for related complications like TAPS (Twin Anemia-Polycythemia Sequence).

Possible risks include preterm rupture of membranes, infection, bleeding, or preterm labor. However, when performed by experts, these risks are significantly minimized.

Survival depends on the stage at diagnosis, placenta structure, and timing of treatment. On average, 50–60% of cases see survival of both twins, and 70–80% see survival of at least one twin.

In many cases, yes — as it is a medically necessary, life-saving procedure. Coverage depends on your insurance provider and policy terms.

If laser surgery is not feasible (due to placenta position or late pregnancy), amnioreduction or early delivery may be considered as alternatives.

Most mothers can return to light activities within a few days. Heavy lifting and strenuous work should be avoided, and regular follow-up scans are essential.

No. The procedure is safe for future pregnancies and does not usually cause fertility issues.

Why Choose Essentia Medicals for TTTS (Twin-to-Twin Transfusion Syndrome) Treatment in Delhi?

Exceptional Care with Advance Laser Technology

01.

Quick Healing with Safe Laser Technology

Our laser technology is gentle and safe. It helps you heal faster and has a high success rate. You can return to your normal life without pain or discomfort.

02.

Trusted Doctors with Years of Experience

Our doctors have done more than 15,000 surgeries. They treat you like family and ensure you feel comfortable and cared for throughout the entire process.
 

03.

Affordable Treatment, No Worries

We know that medical costs can be challenging. That’s why we provide quality care at prices you can afford. Your health comes first for us.
 

 

04.

We’re Here for You, Every Step

From your first visit to your recovery, we’re here to help you. Our team will answer your questions and make everything easy and stress-free.
 

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