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- W2020984186 abstract "Abstract Objective: This study aims to treat patients with preterm premature rupture of the membranes (PPROM) and anhydramnion using continuous amnioinfusion through a subcutaneously implanted port system. Methods: An amniotic fluid replacement port system was implanted in seven patients with PPROM and anhydramnion starting at the 20 th week of gestation (range, 14–26 weeks) for long-term amnioinfusion. Saline solutions (2 L/day; Jonosteril ® , Sterofundin ® , isotonic NaCl 0.9% solution, lactated Ringer’s solution) and a hypotonic aqueous composition with reduced chloride content similar to the electrolyte concentration of human amniotic fluid were used for the continuous amnioinfusion. Results: The mean duration of the PPROM delivery interval continued for 49 days (range, 9–69 days), with 3 weeks of amnioinfusion via the port system (range, 4–49). The newborns showed no signs of lung hypoplasia. Conclusion: Long-term lavage of the amniotic cavity via a subcutaneously implanted port system in patients with PPROM and anhydramnion may help prolong the pregnancy and avoid fetal lung hypoplasia. A hypotonic aqueous composition with reduced chloride content similar to human amniotic fluid can be safely used for amnioinfusion. Prospective randomized studies are ongoing." @default.
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- W2020984186 date "2013-06-11" @default.
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- W2020984186 title "Treatment of PPROM with anhydramnion in humans: first experience with different amniotic fluid substitutes for continuous amnioinfusion through a subcutaneously implanted port system" @default.
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- W2020984186 doi "https://doi.org/10.1515/jpm-2012-0296" @default.
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