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Ibirogba ER, Shazly SA, Narang K, Wahood W, Trad ATA, Tsimis ME, Ruano R. Interventional resealing of preterm premature rupture of the membranes: a systematic review and meta-analysis. J Matern Fetal Neonatal Med 2021; 35:5978-5992. [PMID: 34392785 DOI: 10.1080/14767058.2021.1903858] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To compare the effectiveness and outcomes of interventional resealing of membranes, "amniopatch" for spontaneous vs. iatrogenic preterm premature rupture of the membranes (sPPROM and iPPROM). METHODS We performed a systematic review of literature involving an electronic search of the following databases: Ovid MEDLINE(R) and Epub Ahead of Print, In-Process and Other Non-Indexed Citations, Ovid MEDLINE(R) Daily, Ovid EMBASE, Ovid Cochrane Central Register of Controlled Trials, and Scopus. An indirect meta-analysis was then performed to compare the obstetric, maternal, fetal, and neonatal outcomes of amniopatch between the sPPROM and iPPROM groups. RESULTS The mean gestational age (GA) at the time rupture was 17.8 ± 1.8 and 25.2 ± 3.8 weeks for iPPROM and sPPROM, respectively, p = .005. Mean GA at the time of amniopatch procedure was 19.2 ± 2.07 weeks for iPPROM and 23 ± 3.1 weeks of gestation for sPPROM, p = .023. The rates of fluid re-accumulation (sPPROM 26% and iPPROM 53%, p = .09) were comparable between the sPPROM and iPPROM groups. Neonatal outcomes except for the rate of IUFD were also comparable between the groups. The incidence of IUFD was significantly higher in the iPPROM group (ES: 24%; 95% CI: 8.00-44.0%; p < .001), compared to sPPROM (ES: 0%; 95% CI: 0.00-4.00%). Obstetric and maternal outcomes were comparable between the two groups. CONCLUSIONS Amniopatch appears to be a feasible and safe procedure for PPROM treatment. Further research is warranted to investigate the effectiveness of this procedure and establish a standardized criterion for the appropriate selection of patients that could benefit from this intervention.
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Affiliation(s)
- Eniola R Ibirogba
- Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, Mayo Clinic, Rochester, MN, USA.,Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, Spectrum Health/Michigan State University, Grand Rapids, MI, USA
| | - Sherif A Shazly
- Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, Mayo Clinic, Rochester, MN, USA
| | - Kavita Narang
- Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, Mayo Clinic, Rochester, MN, USA
| | - Waseem Wahood
- Dr. Kiran C. Patel College of Allopathic Medicine, Nova Southeastern University, Davie, FL, USA
| | - Ayssa Teles Abrao Trad
- Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, Mayo Clinic, Rochester, MN, USA
| | - Michael E Tsimis
- Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, Spectrum Health/Michigan State University, Grand Rapids, MI, USA
| | - Rodrigo Ruano
- Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, Mayo Clinic, Rochester, MN, USA
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Jung YM, Park CW, Park JS, Jun JK, Lee SM. Application of Tissue Engineering and Regenerative Medicine in Prelabor Rupture of Membranes: a Review of the Current Evidence. Reprod Sci 2021; 28:1774-1784. [PMID: 33847975 DOI: 10.1007/s43032-021-00525-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2020] [Accepted: 03/01/2021] [Indexed: 10/21/2022]
Abstract
Preterm prelabor rupture of membranes (PPROM) is the main cause of preterm delivery, resulting in increased perinatal morbidity and mortality. Several techniques have been studied for the healing of ruptured membranes, with some success. Before new techniques using tissue/organ engineering are applied in clinical practice, these techniques must be validated in clinical trials. To address this issue, the objective of this study was to summarize the current literature on interventions to seal or heal the amniotic membranes after PPROM. An electronic search was conducted using the keywords "fetal membranes," "premature rupture," "amnion," "tissue engineering," "fibrin tissue adhesive," "regenerative medicine," "tissue adhesive," "wound healing," and "fetoscopy" through the MEDLINE, Embase, and Cochrane CENTRAL databases, with the limitation of English-language studies. Through a review of the identified studies, it was found that spontaneous healing of the fetal membrane has not been successful. Several efforts have been made to seal membranes before or after rupture using different methods, including amniopatches, collagen, tissue patches, fibrin sealant, mussel-mimetic sealant, engineered cell matrix, and immunological supplements. However, most studies have been conducted in ex vivo or in vivo settings, so the safety and applicability of these techniques to spontaneous rupture of membranes in clinical settings have not been sufficiently tested. Overall, the current evidence is limited regarding the safety and effectiveness of interventions against PPROM.
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Affiliation(s)
- Young Mi Jung
- Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Korea
| | - Chan-Wook Park
- Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Korea
| | - Joong Shin Park
- Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Korea
| | - Jong Kwan Jun
- Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Korea
| | - Seung Mi Lee
- Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Korea.
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Tomica D, Puljiz M, Marcelić L, Danolić D, Haubenberger D, Alvir I, Mamić I, Šušnjar L, Diridl P. Premature rupture of the membranes at 16 weeks: report of a successful outcome of pregnancy and review of the literature. Wien Med Wochenschr 2020; 171:238-241. [PMID: 32700013 DOI: 10.1007/s10354-020-00771-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2020] [Accepted: 06/30/2020] [Indexed: 12/01/2022]
Abstract
Prelabor rupture of the fetal membranes (premature rupture of membranes, PROM) before or at the limit of fetal viability is condition associated with significant and serious pediatric morbidity and mortality. It is a rare problem, with an estimated incidence between 0.1 and 0.7%. Management of this condition is one of the most challenging clinical situations in obstetrics. We report the case of a pregnant woman presenting at 16 weeks gestation with ruptured membranes. The course of pregnancy was further complicated by complete placenta previa. Expectant management was undertaken, with term delivery and successful outcome of pregnancy. Expectant management is a reasonable approach in properly selected patients. Better understanding of the mechanisms of spontaneous membrane resealing is needed in order to improve poor outcomes. More published data and evidence are necessary to standardize treatment options for this rare condition.
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Affiliation(s)
- Darko Tomica
- Department of Gynecology and Obstetrics, General Hospital Scheibbs, Scheibbs, Austria
| | - Mario Puljiz
- Clinical Department of Gynecologic Oncology, University Hospital for Tumors, University Hospital Center Sestre milosrdnice, Ilica 197, 10 000, Zagreb, Croatia
| | - Luka Marcelić
- Clinical Department of Gynecologic Oncology, University Hospital for Tumors, University Hospital Center Sestre milosrdnice, Ilica 197, 10 000, Zagreb, Croatia.
| | - Damir Danolić
- Clinical Department of Gynecologic Oncology, University Hospital for Tumors, University Hospital Center Sestre milosrdnice, Ilica 197, 10 000, Zagreb, Croatia
| | - Daniel Haubenberger
- Department of Gynecology and Obstetrics, General Hospital Scheibbs, Scheibbs, Austria
| | - Ilija Alvir
- Clinical Department of Gynecologic Oncology, University Hospital for Tumors, University Hospital Center Sestre milosrdnice, Ilica 197, 10 000, Zagreb, Croatia
| | - Ivica Mamić
- Clinical Department of Gynecologic Oncology, University Hospital for Tumors, University Hospital Center Sestre milosrdnice, Ilica 197, 10 000, Zagreb, Croatia
| | - Lucija Šušnjar
- Clinical Department of Gynecologic Oncology, University Hospital for Tumors, University Hospital Center Sestre milosrdnice, Ilica 197, 10 000, Zagreb, Croatia
| | - Peter Diridl
- Department of Gynecology and Obstetrics, General Hospital Scheibbs, Scheibbs, Austria
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Woo K, Sibbald G, Fogh K, Glynn C, Krasner D, Leaper D, Osterbrink J, Price P, Teot L. Assessment and management of persistent (chronic) and total wound pain. Int Wound J 2008; 5:205-15. [PMID: 18494626 DOI: 10.1111/j.1742-481x.2008.00483.x] [Citation(s) in RCA: 63] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Persistent (chronic) wound-related pain is a common experience that requires appropriate assessment and treatment. It is no longer adequate for health care professionals to concentrate on the acute (temporary) pain during dressing change alone. The study provides useful recommendations and statements for assessing and managing total wound-related pain for patients, health care professionals and other policymakers. The recommendations have been developed with the involvement of an interprofessional panel of health care professionals from around the world.
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Affiliation(s)
- Kevin Woo
- Women's College Hospital, University of Toronto, Toronto, Canada.
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