We report only the 3rd case of closure of amniorrhexis following genetic amniocentesis. Our techinque is the first to use endoscopic visualization of the rupture site and apply maternal platelets and fibrinogen/thrombin (Hemaseel® Haemacure Corp Sarasota Fl). The patient underwent repair at 20.6 weeks, 26 days after spontaneous rupture of membranes post-amniocentesis. At the time of the procedure the amniotic fluid index was 1 cm. Patient was delivered at 32.3 weeks secondary to complications of diabetes and severe preeclampsia. The neonate had APGARS of 7 at 1 min and 8 at 5 min and was discharged home on Day 21 of life.
Print ISSN: 1619-3997
Volume: 28, 08/2000
Pages: 326 - 330