A simple technique to reduce fluid intravasation during endometrial resection.
The rate of fluid intravasation may abruptly and alarmingly increase during endometrial resection. Left unchecked, this may lead to complications of fluid overload. In 20 patients, temporary cessation of surgery in the form of a 10-minute glycine-free interval reduced the rate of fluid intravasation by 38.75% to 85.81% (mean 67.09%) in the later part of surgery. This was possibly due to hemostatic sealing of open blood vessels which prevented further intravasation of distending medium into systemic circulation.
Kumar
Atul
A
Hysteroscopic Surgery Division, Anil Hospital, Jaipur, India.
Kumar
Alka
A
D000042:Absorption; D004717:Endometrium / Q000601:surgery*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000517:prevention & control*; D005260:Female; D005998:Glycine / Q000008:administration & dosage* / Q000493:pharmacokinetics; D006801:Humans; D015907:Hysteroscopy; D008595:Menorrhagia / Q000601:surgery; D009994:Osmolar Concentration; D012996:Solutions / Q000008:administration & dosage / Q000493:pharmacokinetics; D007507:Therapeutic Irrigation; D014883:Water-Electrolyte Imbalance / Q000517:prevention & control
D012996:Solutions; D005998:Glycine