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Clinicians should remain vigilant for the possibility of uterine rupture, particularly among high-risk patients. This article is protected by copyright. All rights reserved. To compare the perinatal outcomes following laser photocoagulation complicated by chorioamniotic separation (CAS) and septostomy. A retrospective cohort analysis of monochorionic twin pregnancies complicated by twin-twin transfusion syndrome (TTTS) who underwent fetoscopic laser photo-coagulation (FLPC). The data was collected from two university-affiliated tertiary