Minimally invasive endoscopy in the treatment of preterm premature ruptureof membranes by application of fibrin sealant

We report only the 3(rd) case of closure of amniorrhexis following genetic amniocentesis. Our techinque is the first to use endoscopic visualization o f the rupture site and apply maternal platelets and fibrinogen/thrombin (He maseel(R) Haemacure Corp Sarasota Fl). The patient underwent repair at 20.6 weeks, 26 days after spontaneous rupture of membranes post-amniocentesis. A 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 p reeclampsia. The neonate had APGARS of 7 at 1 min and 8 at 5 min and was di scharged home on Day 21 of life.