Diseases that Harm Require Therapies that Harm Less---Sir William Osler（1849-1919)
2022 APAGE-ISMIVS HIFU Series Webinars
Themed “Treatment for Placenta Accreta and Cesarean Scar Pregnancy”, the 2nd episode of AIH 2022 opened on June 16th. Episode 2 invited Prof. Tsutsumi Osamu (Director of Sanno Hospital, Japan) and Prof. Chi-Chang Chang (President of Taiwan Association for Minimally Invasive Gynecology) to be the chairs, with 3 leading experts discussing minimally invasive and noninvasive therapies for patients with placenta accrete and cesarean scar pregnancy.
Prof. Aizura Adlan, Associate Professor of Department Obstetrics and Gynecology, University of Malaya, discussed the pathogenesis, diagnosis and management of placenta accreta and cesarean scar pregnancy (CSP). She believed that conservative management should be considered only for carefully selected cases of placenta accrete spectrum, cases that be considered investigational and after detailed counselling about the risks, uncertain benefits and efficacy. After demonstrating 4 cases of CSP, she provided several treatment modalities including laparoscopic caesarean scar resection, TAS-guided hysteroscopic curettage, and repeated HIFU combined with hysteroscopic S&C.