Complicatiile Tardive Ale SEU
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Complicatiile tardive ale SEU
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• Mortalitate net diminuata, morbiditate in “crestere”;
• Noi factori de risc:
-sterilizarea tubara percelioscopica;
-operatii plastice tubare;
-inducerea ovulatiei;
-fertilizarea in vitro si transferul embrionar.
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• Aparitia complicatiilor tine de:
-incapacitatea organului gazda;
-moartea oului ectopic;
-grefarea pe organe incapabile de transformare deciduala.
• Complicatiile tardive:
-peste 10-12 saptamani;
-la distanta.
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• Complicatiile tardive apar la SEU localizate in jumatatea distala (permite distensia).
• Caracteristici:
-depasesc 10-12 saptamani;
-pot fi surprinse in evolutie;
-in 90% →avort tubar sau ruptura trompei→grefari secundare pe ovar sau in abdomen.
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• Avortul tubar (sau ruptura intracapsulara) e un hematom de decolare sau o ruptura intracapsulara (ruptura trompei).
• Evolutie: -hematosalpinx (sangerare periovulara); -hematocel (ostium abdominal permeabil); -inundatie peritoneala; -oprita in evolutie (SEU cronica, camuflata)-
inainte de a se complica.
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• Hematocelul → se inchisteaza;
→apar bride aderente;
→uter fix in retroversie;
→algii pelvine;
→suprainfectie- abces pelvin.
• Exceptional SEU tubara in tr II si III in localizari distale; evolueaza ca o SEU abdominala.
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• SEU abdominala –exceptionala; -feti vii cu malformaii in 50% din cazuri; -determina un bloc polimorf de colagen, fibrina; -apar conexiuni vasculare intre placenta si viscere; -poate aparea retentia de fat mort (saptamani- zeci
de ani) →resorbtie, infectie, mumificare, calcifiere.
• Sarcina ovariana avansata (peste 12 saptamani) determina hemoragie interna (abdomen acut).
• Sarcina cervicala →penetratie in parametre, cavitatea peritoneala, vagin.
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• Complicatii care influenteaza fertilitatea: –sterilitatea secundara (50%) prin bride (sindrom
aderential), ce impiedica fecundatia sau nidatia →repeta SEU (7-15%);
–tratamentul conservator al SEU tubare (salpingotomia, salpingostomia, evacuarea fimbriala, rezectii segmentare cu anastomoze, reimplantari)- esec.
• Sindromul dureros pelvin postoperator: -algii pelvine, dispareunie, retroversie fixa→ din cauza
sindromului aderential.
• Izoimunizarea in sistemul Rh;• Sterilitatea secundara;• Tulburari de tip nevrotic sau psihotic.