Long-term rare complications of minimally invasive gynecologic procedures during pregnancy
O. Munteanu, D. Secară, M.N. Neamţu, A. Baroş, M.M. Cîrstoiu
Rezumat: Introduction. Minimally invasive gynecologic procedures,
such as hysteroscopic myomectomy, laparoscopic myomectomy
and hysteroscopic uterine septum resection, present
numerous advantages, including the preservation of the
reproductive potential. Hence, they have been widely used
in recent years. However, the number of patients with complications
has also increased, including pregnant women
with uterine rupture, and associated significant hemorrhage
and elevated risk of hemodynamic collapse. Case series.
We present four cases of women with pregnancies following
minimally invasive gynecologic procedures with uterine
rupture and acute surgical abdomen and the management
that was applied in the Department of Obstetrics and Gynecology
of the Bucharest University Emergency Hospital.
Conclusions. Minimally invasive gynecologic procedures do
not lack complications, therefore the potential risks in future
pregnancies must be explained to patients before surgery.
Great care must be taken in choosing patients feasible for
this kind of procedures, given the possible complications, in
order to reduce maternal and fetal morbidity and mortality. Cuvinte cheie: minimally invasive procedures, uterine rupture,
maternal and fetal morbidity and mortality.