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  Česky / Czech version Čes. Gynek., 67, 2002, No. 2, p. 71-74
 
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
 


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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