Preterm
Rupture of Membranes after Amniocentesis in the
2nd Trimester
and Evaluation of Fibrin Sealing: Case Report
Janek Ľ., Križko M., Ferianec V., Holomáň K., Čižmár B.
II. gynekologicko-pôrodnická klinika LFUK, NsP Ružinov, Bratislava, prednosta prof. MUDr. K. Holomáň, CSc. Department of Obstetrics and Gynecology, Spectrum Health – Blodgett Campus, Grand Rapids, USA, prednosta: Newton Ch. W., MD |
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Summary:
Objective: The aim of this study was to evaluate fibrin sealing in management of premature
rupture of membranes after amniocentesis in early second trimester.
Design: Case report.
Setting: II. gynekologicko-pôrodnícka klinika LFUK NsP Ružinov, Bratislava; Department of Ob-
stetrics and Gynecology, Spectrum Health – Blodgett Campus, Grand Rapids, USA.
Subject and Method: In this case report authors report the use of fibrin sealant (Tissucol KIT,
Immuno, A) in management of premature rupture of membranes after genetic amniocentesis. The sealing was performed in 19 + 0 week of pregnancy, 15 days after amniocentesis. The pregnancy
was terminated by caesarean section in 34-th week, 98 days after sealing. The newborn was in
stable condition, without clinical or laboratory signs of infection. No sceletal deformities or ad-
verse efects of fibrin sealant were observed. Neurological examination in 3 month of age evalua-
tes the psychomotorical development as normal.
Conclusion: We consider the perinatal outcome of this pregnancy as positive.
Key words:
fibrin sealant, preterm rupture of maembranes, amnicentesis, Tissucol
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