The Gynecology and Obstetrics team of the "Duilio Casula" Polyclinic in Monserrato, directed by Professor Stefano Angioni, saves the life of a woman in labor, allowing her to give birth to her baby, called Desirèe Benedetta.
The woman - Ylenia Pirisi - reportedly arrived at the emergency room in her 31st week, diagnosed with placenta previa and precreta .
«The situation was delicate - explains a note from the Polyclinic - there was an important risk factor as the placenta is implanted on the uterine scar of previous cesarean sections. The woman, transferred from another hospital, after an important loss of blood and transfusions, had already undergone two caesareans and for this reason her initial condition immediately mobilized the Duilio Casula gynecology and obstetrics team».
«After a careful analysis of the situation – says Professor Angioni – we initially opted for a conservative treatment, i.e. hospitalization with monitoring of blood loss and maternal and fetal conditions, with the aim of continuing the pregnancy until moment in which little Desirèe Benedetta had reached maturity to be born».
But the checks carried out during hospitalization showed that the placenta had invaded the tissues surrounding the uterus, therefore it was configured as a serious case of placenta percreta .
«Placental accretism - explains the director of Gynecology and Obstetrics of the Polyclinic - is a pathology of pregnancy characterized by the abnormal penetration of the placenta inside the uterus (placenta accreta) or in some cases also the reaching of the uterine surface and the surrounding organs with their partial invasion called placenta percreta».
The cases of placenta percreta, continues Angioni, «associated with placenta previa (i.e. below in front of the fetus) and multiple cesarean sections are the most serious as the risk of massive haemorrhages at the onset of labor or during a cesarean section can put life-threatening mother and child. Furthermore, the hysterectomy operation, the removal of the uterus, at the time of delivery is burdened not only by a very high risk of hemorrhage, but also by the risk of injury to potentially involved organs such as the rectum, bladder and ureters.
And so it is that, "at the thirty-fourth week - says Angioni - we opted for fundic caesarean section, that is, an operation that avoids cutting the placenta, avoiding the removal of the uterus. Simultaneously with the cesarean section, the uterus was devascularized with closure of the hypogastric arteries. Thus was born the little Desirèe Benedetta, healthy and strong weighing 2.330 grams ».
After about three weeks, a hysterectomy was performed with removal of the placenta, in order to reduce potential complications and discomfort. The operation carried out by Professor Stefano Angioni together with his assistants and by the anesthesiologists of the Obstetric and Gynecological Analgesia team of the Policlinico took place without any complications.
«The careful study of the clinical case - concludes Angioni - the careful hospital monitoring, the daily sharing with the patient combined with the clinical and surgical experience have allowed an excellent result for both the mother and the child in a condition potentially very high risk ".
(Unioneonline/lf)