Browsing by Autor "Rozi Aditya Aryananda"

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    How to perform the one-step conservative surgery for placenta accreta spectrum move by move
    (Elsevier BV, 2022) Albaro José Nieto‐Calvache; José M. Palacios‐Jaraquemada; Rozi Aditya Aryananda; Nicolás Basanta; Rudy Aguilera; Juan Pablo Benavides; Jaime López; Clara Ivette Campos; Luisa Valencia; Kevin Arboleda
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    Placenta accreta spectrum: intraoperatory analysis for immediate tele-help
    (Informa, 2022) Albaro José Nieto‐Calvache; Paula Velásquez; Rudy Aguilera; Rozi Aditya Aryananda; Alejandra Hidalgo
    Decisions about which interventions to conduct and which to delay in cases of PAS intraoperative finding can determine the clinical outcome.
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    Telemedicine facilitates surgical training in placenta accreta spectrum
    (Elsevier BV, 2021) Albaro José Nieto‐Calvache; José M. Palacios‐Jaraquemada; Lorgio Rudy Aguilera; William E. Arriaga; Alejandro Colonia; Rozi Aditya Aryananda; Alejandro Solo Nieto‐Calvache; Juliana Maya; Lina María Vergara-Galliadi; Adriana Messa Bryon
    Tele education and telepresence during PAS surgery facilitates the implementation of OSCS in selected cases.
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    VP44.19: Placenta accreta spectrum intraoperative finding: always evaluate if possible – to defer surgery and if “tele‐help” is available
    (Wiley, 2021) Albaro José Nieto‐Calvache; Paula Velásquez; L.R. Aguilera Daga; Rozi Aditya Aryananda; Adriana Messa; Lina María Vergara-Galliadi; Alejandro Solo Nieto Calvache; Juan Manuel Burgos Luna; N. Cruz Albán; L. Ordoñez Arenas
    Placenta accreta spectrum (PAS) is a potentially fatal disease. A quarter of PAS cases are not detected in prenatal evaluations, so obstetricians without experience in this disease may be faced with complex cases without having the necessary resources. We report a series of PAS intraoperative finding (IOF) cases and analyse useful strategies to improve outcomes. Four cases of PAS IOF are reported. These were women with previous pregnancies terminated by Caesarean section, with placenta previa or anterior, whose prenatal ultrasound did not detect PAS. Three patients were candidates for postponement of Caesarean section and / or hysterectomy. One case had active vaginal bleeding, so it was not feasible to defer surgery. Patients who benefited from delaying surgery or seeking additional help through tele-support had better clinical outcomes. In conclusion, deciding which interventions to carry out and which to defer, during a PAS intraoperative finding, is decisive for the clinical outcome.