Pulmonary edema during hysteroscopic surgery: Three cases report.

Area of Science:

• Gynecology
• Surgical Procedures
• Critical Care Medicine

Background:

• Hysteroscopic surgery is a common gynecologic procedure with advantages like accuracy and quick recovery.
• Potential complications include uterine perforation, hemorrhage, and fluid overload from distention media.
• Fluid overload can lead to electrolyte disturbances and other serious adverse events.

Purpose of the Study:

• To report three cases of acute pulmonary edema occurring during hysteroscopic surgery.
• To emphasize the risk of fluid overload and pulmonary edema associated with uterine distention media intravasation.

Main Methods:

• Case series reporting three consecutive patients who developed pulmonary edema during hysteroscopic surgery.
• Review of patient data and intraoperative events related to fluid management and distention media.

Main Results:

• Three patients developed acute pulmonary edema during hysteroscopic procedures.
• Pulmonary edema was attributed to the intravasation and absorption of uterine distention media, leading to fluid overload.

Conclusions:

• Acute pulmonary edema is a potential and serious complication of hysteroscopic surgery.
• Vigilance regarding fluid overload from distention media is crucial for patient safety during hysteroscopic procedures.