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Titolo:
Experience with isotonic 2.2% glycine as distension medium for hysteroscopic endomyometrial resection
Autore:
Tapper, AM; Heinonen, PK;
Indirizzi:
Tampere Univ Hosp, Dept Obstet & Gynecol, Tampere, Finland Tampere Univ Hosp Tampere Finland pt Obstet & Gynecol, Tampere, Finland Univ Tampere, Sch Med, FIN-33101 Tampere, Finland Univ Tampere Tampere Finland FIN-33101 h Med, FIN-33101 Tampere, Finland
Titolo Testata:
GYNECOLOGIC AND OBSTETRIC INVESTIGATION
fascicolo: 4, volume: 47, anno: 1999,
pagine: 263 - 267
SICI:
0378-7346(1999)47:4<263:EWI2GA>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
HYPONATREMIC ENCEPHALOPATHY; TRANSCERVICAL RESECTION; ENDOMETRIUM; COMPLICATIONS; MENORRHAGIA; ABLATION; FLUIDS;
Keywords:
endometrial resection; distension medium; isotonic solution; glycine; fluid overload;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Tapper, AM Helsinki0610y Matern Hosp, Dept Obstet & Gynecol, Sofianlehdonkatu 5, FIN-0 Helsinki City Matern Hosp Sofianlehdonkatu 5 Helsinki FinlandFIN-00610
Citazione:
A.M. Tapper e P.K. Heinonen, "Experience with isotonic 2.2% glycine as distension medium for hysteroscopic endomyometrial resection", GYNECOL OBS, 47(4), 1999, pp. 263-267

Abstract

The feasibility of performing hysteroscopic endomyometrial resection usingisotonic 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. Apartfrom 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.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/09/20 alle ore 09:21:34