Thanks to Francesco Scialfa for the pictures. 16-17 MARCH 2017CATANIA - SHERATON HOTEL

International Course on Abnormally Invasive Placenta (AIP)

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CATANIA - SHERATON HOTEL

PresidentsG. Calì, G. Ettore

Scientific CommitteeG. Bartoloni, N. Chianchiano, F. Forlani,F. Labate, E. Maresi, E. Pappalardo

Scientific Secretary C. Ettore, F. Foti, G. Minneci, I. Rizzo

Organizational SecretaryMens Medica s.r.l.

www.mensmedica.itinfo@mensmedica.it+39 346 53 90 448

Presentation

In the last decades the anomalies of placental invasion (AIP: pla-centa accreta, increta and percreta) have been object of a rising debateall over the world, because of:• the progressive increase of incidence• the high feto-maternal mobility and mortality• the possibility of a prenatal diagnosis• the need of a multidisciplinary organization of management

The most important risk factors are a previous cesarean sectionand placenta previa. For some years clinicians have led a commonstrategy for the restraint and reduction of cesarean sections rate, be-cause the negative implications of such procedure have become morefrequent and there is also a correlation between AIP and the numberof previous cesarean deliveries, that is to say the number of scars.

Another aspect emerging in literature is the possibility of a pre-partum diagnosis representing the fundamental premise for a correctmanagement and for the reduction of maternal morbility and mor-tality. In particular, Ultrasound diagnosis has made significant pro-gresses in the last 2-3 years and the utilization of 3D Dopplertechnique has permitted the exploration of more advanced diagnos-tic aspects, unknown till few years ago.

In the first trimester of pregnancy, the early evaluation of the re-lation between implantation site and previous cesarean scar is a“new” concept with which gynecologists should familiarize for amore frequent and culturally correct use in clinical practice. The earlydiagnosis, or even a very early screening in cases with anamnesticrisk, are today interesting aspects of the research. The improvementof diagnosis can justify care pathways expensive and complex andthe prompt addressing to reference centres where there is the possi-bility of ensuring an adequate multidisciplinary care.

This course has the purpose of showing the experience gained inthe last years and contributing to a better care for a pathology withhigh risk for maternal health, thanks to the presence of eminent in-ternational and national Experts.

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Topics

• Epidemiology and risk factors

• Physiopathology of the uterine healing process

• Screening, diagnosis and management of theCesarean Scar Pregnancy

• Diagnosis of AIP: Imaging evolution (1st-2nd-3rd trimester)

• Diagnostic integration with Magnetic Resonance Imaging

• Advanced diagnosis of AIP: prediction of complications

• Rationale, technique and outcome of conservativemanagement for AIP

• Cesarean section with hysterectomy

• Triple P Procedure

• One-Step Conservative Surgery

• Role of Interventional Radiology

• Comparison between classification by Imagingand Surgical classification

• Anatomopathological delineation

• Medico-legal aspects

• Videos

Alio Luigi PalermoAlio Walter PalermoBartoloni Giovanni CataniaBorracino Savino CataniaCalì Giuseppe PalermoCanzone Giuseppe Termini I.Capodicasa Antonio PalermoChandraharan Edwin LondonChianchiano Nicola PalermoColombo Anna CataniaConoscenti Giancarlo CataniaD’Anna Maria Rosa PalermoD’Anna Rosario MessinaD’Antonio Francesco LondonDi Liberto Armando PalermoDi Liberto Sergio Termini I.Di Natale Raffaela PalermoEttore Giuseppe CataniaFinazzo Francesca PalermoFratelli Nicola BresciaFundarò Gianfranco PalermoLabate Francesco PalermoMagnano Vincenzo CataniaMaresi Emiliano PalermoMonni Giovanni CagliariMotta Angela CataniaPalacios Jaraquemada Josè Buenos AiresPrefumo Federico BresciaRizzo Giuseppe RomaSciarrone Andrea TorinoScollo Paolo CataniaSentilhes Loic BordeauxTimor-Tritsch Ilan New YorkTriolo Onofrio MessinaVallone Antonio CataniaVallone Mario PalermoVenezia Renato PalermoViora Elsa TorinoVitaliti Marcello Palermo

Faculty

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Introduction G. Calì, G. Ettore 1st Session Chairmen G. Conoscenti, G. Monni, E. Viora

9,30 Epidemiology and risk factors G. Ettore

9,50 Physiopathology of uterine healing process J. Palacios Jaraquemada

10,10 Screening, diagnosis and management of CSP at 6-10 GW Video I. Timor Thritsh

10,50 Discussion

2nd Session Chairmen R. D’Anna, E. Pappalardo, R. Venezia

11,30 Early diagnosis and management of Early AIP (11-22 GW) F. Prefumo

11,50 Diagnosis in 1st and 2nd trimester (Imaging evolution) N. Fratelli

12,10 Advanced diagnosis of AIP: prediction of complications G. Calì

12,30 Discussion

13,00 Lunch

3rd Session Chairmen L. Alio, A. Perino, A. Vallone

14,30 Role of MRI: when and how F. Finazzo

14,50 Ultrasound and MRI comparison: accuracy and diagnostic integration F. D’Antonio

15,10 Discussion

4th Session Chairmen G. Calì, A. Cianci, A. DiLiberto

15,30 Staging of AIP: how?

* Pre-surgical classification G. Calì

* Surgical classification J. Palacios Jaraquemada

*Anatomophatological classification G. Bartoloni

* Correlation between Imaging and histopathology E. Maresi

17,00 Discussion

18,00 End of the sessions

Program

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17 MARCH 2017 5th Session Chairmen M. R. D’Anna, S. Di Liberto, R. Di Natale

9,00 Anesthesiology techniques Locoregional anesthesia G. Fundarò General anesthesia S. Borracino

9,30 Interventional Radiology M. Vallone, V. Magnano

10,00 Neonatal outcome A. Motta, M. Vitaliti

10,30 Discussion

11,00 Video Session and clinical cases

12,30 Discussion

13,00 Lunch

6th Session Chairmen N. Chianchiano, F. Labate, G. Rizzo, P. Scollo

14,00 Rationale, technique and maternal outcome of conservativemanagement for AIP

L. Sentilhes

14,30 Cesarean section and hysterectomy with placenta in situG. Calì

14,50 Triple P Procedure E. Chandraharan

15,10 One-Step Conservative Surgery J. Palacios Jaraquemada

15,30 Discussion

7th Session Chairmen G. Canzone, A. Capodicasa, A. Colombo, O. Triolo

16,00 Organizational and medico-legal aspects A. Sciarrone Discussants G. Bonanno, A. Bucolo, S. Caudullo, V. Iannone, S. Incandela, G. LaFerrera, F. LaMantia, R. La Spina, M. Palmeri

17,30 End of the Course

Program

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InformationPlace of courseHotel Sheraton, via A. da Messina, 45 -95021 Acicastello ( CT )

Registration detailsThe entry fee is euro 500,00 for person.For Members AOGOI – SIEOG the entry fee is euro 300,00 for personThe entry fee is free for medical doctor under trainingIs requested a contribution of 50 euro for attribution of ECM credits

the registration fee includes:• participation in the scientific sessions;• badge and Conference kit;• certificate of participation;• ECM certificate;• Lunch;

Method of paymentthe payment of the participation fee may be made by:

bank transfer to Mens Medica srlIBAN IT78G0513216900814570365941

(indicate the reason for the name of the conference and the participant)

Languages:Is provided the online translation from english to italian and viceversa

Note:Credits are awarded only after 100% of the presence works.Registration is required up to exhaustion of available seats and canbe made by filling in and sending bymail: amministrazione@mensmedica.it the application form togetherwith proof of payment.The applications received without payment will not be consideredvalid.Send a copy of the payment slip by email to the organizational sec-retary info@mensmedica.it.

CancellationNotifications of cancellation should be sent in writing to the organi-zational secretary. There are no refunds.

CertificatesCertificates of participation will be issued to all registered partici-pants, only for the days of actual presence at the Congress.

Overnight stayHotel Sheraton, via A. da Messina, 45 - 95021 Acicastello (CT)

Course n.  2223-180371 Ed. 1

ECM Credits 8,3

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