Q. Are there any contraindications of the surgery on maternal side? If so what can be done?
Fortunately there are few true contraindications to fetoscopic laser ablation surgery — however, a short cervix (usually a threshold of 2 cm) is used by many fetal centers to exclude patients from this intervention due to high risk of PPROM/PTD in such cases. While obesity has been considered a potential contraindication to some fetal surgeries, usually fetoscopic laser is possible though dissection down to the fascia may be required to complete the procedure just given distance/length of instruments.