Transcervical endometrial resection syndrome.
During transcervical endometrial resection the uterine cavity is irrigated under pressure with 1.5% glycine solution. This solution may be absorbed, with consequent fluid and electrolyte shifts. Plasma sodium concentration was analysed in 21 women undergoing transcervical endometrial resection and decreased in every case. In five cases this decrease was > 10 mmol.l-1. Hyponatraemia is a potential risk with this procedure.
McSwiney
M
M
Shackleton Department of Anaesthesia, Southampton General Hospital.
Myatt
J
J
Hargreaves
M
M
D000328:Adult; D004717:Endometrium / Q000601:surgery*; D005260:Female; D005998:Glycine / Q000008:administration & dosage; D006801:Humans; D007010:Hyponatremia / Q000209:etiology; D011312:Pressure; D012307:Risk Factors; D012964:Sodium / Q000097:blood*; D007507:Therapeutic Irrigation / Q000009:adverse effects*
D012964:Sodium; D005998:Glycine