Publications by authors named "Hammami Rami"

Magnetic resonance imaging (MRI) is used for diagnosing placenta accreta spectrum disorders (PASDs) because of its advanced soft-tissue contrast and spatial resolution capabilities, offering better contrast, improved spatial resolution, and a wider field of view compared with ultrasound. Using a 1.5-Tesla MRI protocol with multiple sequences, MRI can detect indicative signs of PASD such as placental signal heterogeneity, interruption of the myometrium-placenta interface, and abnormal vascularization.

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Background: Mistreatment in healthcare is defined by the set of behaviors, acts, and omissions committed by the healthcare providers on patients. Pregnant women can be exposed to this behavior during pregnancy, childbirth, and the postpartum period. It can have several aspects and affects the women's mental health, social and professional life, and also their newborns and families.

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Article Synopsis
  • The increasing rates of obstetric complications, like post-partum hemorrhage from placenta accreta spectrum, necessitate new treatment methods, highlighting the effectiveness of internal iliac artery embolization for managing obstetric bleeding.
  • Two case studies demonstrate successful outcomes: a 38-year-old patient experienced persistent bleeding after a subtotal hysterectomy and was saved by arterial embolization, while a 35-year-old patient with placenta accreta after a hysterectomy also benefited from the procedure.
  • The discussion emphasizes the importance of interventional radiology in treating postpartum hemorrhage and suggests that consulting a specialized radiologist can be crucial for improving patient outcomes post-surgery.
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Background: The placenta accreta spectrum is a complex disorder characterized by abnormal invasion of the placenta into the uterine wall, posing a significant risk of life-threatening haemorrhage for patients. Its incidence is on the rise, largely attributed to the increasing rates of caesarean sections. Management of this spectrum involves a multidisciplinary approach, although standardized protocols are not yet established.

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Objectives: To investigate the feasibility, safety, and efficiency after application of a cervical tourniquet during caesarian hysterectomy owing to placenta accreta.

Study Design: It was a monocentric prospective observational study for 3 years. Patients were allocated into two group: Group Tourniquet: (TG) in which a cervical tourniquet was systematically applied during hysterectomy, control group (CG) when the caesarian hysterectomy was performed without.

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