Document Detail

The technique of fibrin adhesion for premature rupture of the membranes during pregnancy.
MedLine Citation:
PMID:  3486266     Owner:  NLM     Status:  MEDLINE    
The description of a new technique for fibrin adhesion (in 28 patients) for premature rupture of the membranes in pregnancy is reported. Unless cerclage has been carried out earlier, it is necessary to suture the cervical canal immediately after rupture of the membranes in order to be able to insert a fibrin clot. The author's modified cerclage technique (reverse McDonald procedure) is described. The advantages are minimal trauma to the lower uterine segment and a somewhat physiologic fixation of the synthetic suture material. For application of the fibrin sealant, the Duploject syringe clip is used, as it allows exact dosage and blending of the two sealant components in the course of their application to the site of sealing. The problem of evaluation of the results of the procedure is discussed. The technique carries no risk to mother or child. No cases of amniotic infection syndrome have been observed. Through prolongation of the pregnancy, time is gained for maturation of the fetal lungs. Accordingly, the authors recommend the technique for treating premature rupture of the membranes, although there is as yet no definite answer as to the optimal timing of this adhesion treatment during pregnancy.
K Baumgarten; S Moser
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  14     ISSN:  0300-5577     ISO Abbreviation:  J Perinat Med     Publication Date:  1986  
Date Detail:
Created Date:  1986-06-02     Completed Date:  1986-06-02     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  43-9     Citation Subset:  IM    
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MeSH Terms
Drug Combinations / therapeutic use
Factor XIII / therapeutic use*
Fetal Membranes, Premature Rupture / prevention & control*
Fibrin Tissue Adhesive
Fibrinogen / therapeutic use*
Obstetric Labor, Premature / prevention & control
Thrombin / therapeutic use*
Tissue Adhesives / therapeutic use*
Reg. No./Substance:
0/Drug Combinations; 0/Fibrin Tissue Adhesive; 0/Tissue Adhesives; 9001-32-5/Fibrinogen; 9013-56-3/Factor XIII; EC

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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