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BIMBO DI TRE ANNI MUORE DOPO OPERAZIONE ALLE TONSILLE. INDAGATO IL PRIMARIO

Posted by irpinianelmondo su aprile 7, 2008

7.4.2008  - Morire a tre anni per un’emorragia, a cinque giorni da una semplice operazione di tonsillectomia fatta nel prestigioso Istituto Pediatrico Gaslini di Genova. La sorte toccata al piccolo Giacomo Reale di Gavi (Alessandria) rende sgomenti non solo i genitori, un operaio e la direttrice di un negozio del grande outlet di Serravalle Scrivia, ma anche i medici dell’ospedale pediatrico, che non riescono a spiegarsi cosa possa essere accaduto.

La Procura della Repubblica di Alessandria ha aperto un fascicolo, indagando il primario del reparto di otorinolaringoiatria che ha operato il bambino, Vincenzo Tarantino, ma ha rinviato l’autopsia, esame determinante per capire cosa sia accaduto. Giacomo, 3 anni e mezzo, viene operato il primo aprile nel reparto di otorinolaringoiatria del Gaslini dallo stesso primario. Il giorno dopo viene dimesso e torna a casa, a Nebioli, una frazione di Gavi. Accusa mal di gola, ma è normale, pensano i genitori. Venerdì Giacomo viene visitato dal suo pediatra, che conferma il decorso normale di guarigione. Ma domenica sera, dopo essersi svegliato da un sonnellino davanti alla televisione, Giacomo vomita un fiotto di sangue. In pochi minuti giunge a casa un’autoambulanza del 118. I soccorritori si trattengono per una cinquantina di minuti nella cameretta del bimbo, lasciando fuori dalla porta i genitori angosciati. Arriva anche l’elisoccorso e Giacomo viene portato all’ospedale di Alessandria, ma vi giunge già morto.

“I rischi di complicanze emorragiche precoci o tardive negli interventi di adenotonsillectomia ci sono. Ma in 25 anni di professione, qui al Gaslini, non abbiamo mai registrato decessi”: è il commento del dott. Tarantino, che, anch’egli sconvolto dalla notizia, accetta di rispondere alle domande dei giornalisti. Il primario precisa che l’intervento si era svolto regolarmente e che il piccolo paziente non presentava alcuna patologia da richiedere accorgimenti particolari. “Se avessimo avuto dei dubbi non lo avremmo dimesso”, aggiunge. Le emorragie, negli interventi di adenotonsillectomia, spiega il medico, sono di due tipi. Quella primaria, o precoce, avviene durante l’intervento o entro le 12 ore successive. Quella tardiva, può verificarsi oltre le 12 ore fino al ventunesimo giorno dal decorso post operatorio. Le superfici cruentate dall’asportazione delle tonsille vengono cauterizzate una ad una con un elettrobisturi. Si forma quindi una pseudo membrana (non una crosta vera e propria trattandosi di una superficie umida), al di sotto della quale, nell’arco di 21 giorni, avviene la cicatrizzazione. Se la membrana si stacca può verificarsi il sanguinamento, con il rischio di emorragia che è testato a livello internazionale dallo 0,5 all’8 per cento. Al Gaslini l’incidenza delle emorragie primarie è stata fino a metà del 2005 dell’ 1,18%. Da gennaio 2003 a febbraio 2008, su 3.306 interventi, le emorragie tardive sono state l’1,7% e soltanto in 15 casi si è reso necessario il ricovero. Nel 2007, si era verificata una punta, con 6 casi di cui 4 in gennaio. Furono fatte tutte le verifiche del caso e fu revisionato l’apparecchio per l’elettrocoagulazione che risultò in ordine. “I medici dell’ ospedale Gaslini di Genova ci avevano dato un foglio con le istruzioni per il periodo post operatorio – dice il papà del bambino, Marco Reale, 41 anni – Giacomo beveva poco, solo un po’ di latte, niente acqua. Venerdì è stato visitato dalla nostra pediatra che non ha riscontrato niente di anormale”. Il bimbo prendeva farmaci antidolorifici “e per questo aveva sonnolenza”. Ieri si è addormentato alle 14,30 e si è risvegliato alle 17.30: “Gli ho chiesto se volesse guardare i cartoni animati – è sempre il racconto di Marco Reale – mi ha detto di no e sono uscito in giardino per fumare una sigaretta. All’improvviso l’ho sentito urlare, sono rientrato di corsa, vomitava sangue”. Viene chiesto l’ intervento del 118: “I medici mi hanno detto che forse si è recisa una vena o una grossa arteria”, afferma ancora il papà del piccolo. E Marco ricorda una triste coincidenza: “Il 5 dicembre, proprio il giorno in cui abbiamo prenotato l’ operazione in tv ho sentito che un bimbo era morto per un intervento alle tonsille. Ho avuto una sensazione un po’ così…Quei pensieri che ogni padre ha”. E stringe a sé l’altro figlio, il fratellino di Giacomo, 2 anni.

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