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.