Intrauterine pressure and fluid absorption during continuous flow hysteroscopy.

Abstract:

OBJECTIVES:Our objectives were to document the causes of fluid absorption during continuous flow hysteroscopy and to determine under which operative conditions fluid overload may occur. STUDY DESIGN:Fifteen patients underwent operative hysteroscopy with 2% ethanol solution for uterine distention. Absorption of fluid was measured by blood alcohol, sodium, osmolarity, and hematocrit. Intrauterine pressures were measured with an obstetric pressure catheter. RESULTS:Alcohol absorption was noted in one patient during a myoma resection. Two additional patients, not in the study, had fluid absorption after partial perforations of the uterus. Under normal operative conditions there were no changes in sodium, osmolarity, or hematocrit. Intrauterine pressures ranged from 45 to 75 mm Hg. Experimental pressures of greater than 200 mm Hg were not associated with fluid absorption. CONCLUSIONS:Intravasation of fluid may occur through open uterine venous channels with extensive resections and under low pressures in the presence of unrecognized perforations.

journal_name

Am J Obstet Gynecol

authors

Vulgaropulos SP,Haley LC,Hulka JF

doi

10.1016/s0002-9378(11)91417-3

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

386-90; discussion 390-1

issue

2

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(11)91417-3

journal_volume

167

pub_type

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