Experience with isotonic 2.2% glycine as distension medium for hysteroscopic endomyometrial resection.

Abstract:

:The feasibility of performing hysteroscopic endomyometrial resection using isotonic 2.2% glycine as distension medium was studied in 181 consecutive operations. A standard continuous flow loop-resectoscope was used. Distension was achieved by means of a gravity-fed system and glycine flowed out under its own pressure. The mean (+/-SEM) glycine deficit was 160+/-20 ml and in only 7 patients was it >1 liter (maximum 1,800 ml). Only in patients with >1 liter glycine absorption was there a significant decrease in serum sodium level (mean 9 mmol/l), while serum osmolality remained normal. Apart from 1 case of transient nausea, these patients had no sequelae. We experienced isotonic 2.2% glycine as a useful and safe distending medium for operative hysteroscopy.

journal_name

Gynecol Obstet Invest

authors

Tapper AM,Heinonen PK

doi

10.1159/000010119

keywords:

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

263-7

issue

4

eissn

0378-7346

issn

1423-002X

pii

10119

journal_volume

47

pub_type

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