2006
DOI: 10.1016/j.placenta.2005.03.008
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A Histological Study of Fetoscopic Membrane Defects to Document Membrane Healing

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Cited by 101 publications
(95 citation statements)
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“…There was one case of PPROM within 3 weeks of the procedure. However, the overall gestational age at delivery in their series was 28.4 weeks with a procedure-to-delivery interval of 6.5 (range, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] weeks. This gestational age at delivery was 3-4 weeks lower than in other published series.…”
Section: Discussionmentioning
confidence: 94%
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“…There was one case of PPROM within 3 weeks of the procedure. However, the overall gestational age at delivery in their series was 28.4 weeks with a procedure-to-delivery interval of 6.5 (range, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] weeks. This gestational age at delivery was 3-4 weeks lower than in other published series.…”
Section: Discussionmentioning
confidence: 94%
“…Both rabbit and sheep have a large allantois that plays a major role in nutrition of the membranes. Finally, the animal membranes are vascular, a characteristic lacking in human membranes and that prevents healing 4 . Chang et al 15 published the only other human study of placement of a gelatin sponge to reduce the rate of iPPROM after fetoscopy.…”
Section: Discussionmentioning
confidence: 99%
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“…This is typically referred to as iatrogenic PPROM or iPPROM, pointing to the circumscribed, surgical injury occurring to the membranes at the time of intervention. It has been shown that those trauma sites show little if no healing capacity (Gratacos et al, 2006). Because of the clinical relevance of its consequences, several groups have explored the possibility to treat or prevent iPPROM from happening by sealing the membrane defect.…”
mentioning
confidence: 99%
“…One of the contributing factors for iPPROM is the non-healing nature of the fetal membranes. The previously proposed mechanism for non-rupture of the membranes after fetoscopy was sliding of the amnion over the chorion once the operative cannula is removed, thereby sealing the site of defect mechanically 4 . However, the findings in our case undermine this theory and support membrane-decidual adherence as the major reason for absence of amniotic fluid leakage at the fetoscopic puncture site.…”
mentioning
confidence: 99%