Safety and efficacy of manual syringe infusion of distending media for hysteroscopic procedures: a case–control study

Ting, Wan-Hua; Lin, Ho‐Hsiung; Wu, Ming‐Ping; Tu, Fung-Chao; Peng, Fu-Shiang; Hsiao, Sheng‐Mou

doi:10.1016/j.ejogrb.2015.06.003

Cited by 3 publications

(8 citation statements)

References 24 publications

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“…In this study, the MI group had a significantly lower volume of infused fluid and collected fluid compared with the PI group (Fig. 2), which was consistent with the results of a previous study 6 . The continuous flow based on pressure by an automatic pump in the PI group instead of the intermittent flow based on visibility in the MI group might explain the above finding of higher infused and collected fluid volumes in the PI group.…”

Section: Discussionsupporting

confidence: 92%

“…The continuous flow based on pressure by an automatic pump in the PI group instead of the intermittent flow based on visibility in the MI group might explain the above finding of higher infused and collected fluid volumes in the PI group. Theoretically, the greater the infused volume, the greater the risk of excessive fluid absorption will be, as concluded in the findings of the previous study 6 . Wong et al ., who evaluated the efficacy of transcervical injection of vasopressin during hysteroscopic myomectomy, found a positive correlation between the infused volume and fluid deficit 7 .…”

Section: Discussionmentioning

confidence: 74%

“…In our study, a higher second postoperative pain score was found in the MI group compared with that in the PI group (0.71 ± 0.73 vs. 0.34 ± 0.66, P = 0.008, Table 1). The above finding might be related to the transient higher in-flow pressure applied by the assistant during the MI procedure compared with that of the PI method, which has a constant in-flow pressure of 70–100 mmHg 6,14,15 .…”

Section: Discussionmentioning

confidence: 96%

“…In our study, due to the unavailability of 3% sorbitol and 1.5% glycine in our institution, distilled water was used for unipolar hysteroscopic myomectomy 6,25 . Distilled water was the original distending medium for resectoscopic urologic surgery 14 .…”

Section: Discussionmentioning

confidence: 99%

“…In a previous retrospective study, manual infusion (MI) of distending media was associated with a significantly reduced average volume of infused fluid, reduced operative time and lower postoperative abdominal pain scores compared with the pump infusion (PI) method 6 . However, the study results might be biased given its retrospective nature 6 . Thus, the primary objective of this prospective randomized controlled study is to compare the infused volume of the MI method with the PI method in hysteroscopic procedures.…”

Section: Introductionmentioning

confidence: 97%

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Manual versus Pump Infusion of Distending Media for Hysteroscopic Procedures: A Randomized Controlled Trial

Ting

Lin

Hsiao

2019

Sci Rep

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Fluid overload is a potential complication of hysteroscopic procedures with the possibility of dangerous electrolyte changes. This prospective randomized controlled trial aimed to compare perioperative outcomes and changes in electrolytes after hysteroscopic procedures between the manual infusion (MI) and the pump infusion (PI) methods for distending media infusion. One hundred consecutive women who had hysteroscopic procedures between December 2013 and February 2017 were recruited and randomly allocated to either the MI or PI group. The PI group was associated with an increased volume of infused fluid and collected fluid compared with the volumes of the MI group. Almost all serum electrolyte levels differed significantly between the baseline and postoperative values in both groups; however, no significant differences were noted between the groups. The change in potassium level was positively correlated with the volume of fluid deficit (Spearman’s rho = 0.24, P = 0.03), whereas the change in calcium level was negatively correlated with the volume of fluid deficit (Spearman’s rho = −0.26, P = 0.046). With no between-group differences in the changes in the other perioperative parameters and electrolytes, the MI method can be a good alternative for delivering distending media for hysteroscopic procedures.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

See 3 more Smart Citations

Manual versus Pump Infusion of Distending Media for Hysteroscopic Procedures: A Randomized Controlled Trial

Ting

Lin

Hsiao

2019

Sci Rep

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Prediction of the operative time for hysteroscopic myomectomy for leiomyomas penetrating the intramural cavity using leiomyoma weight and clinical characteristics of patients

Isono

Wada‐Hiraike

Sugiyama

et al. 2018

Reprod Medicine & Biology

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PurposeTo preoperatively predict the operative time (OT) for hysteroscopic myomectomy for G1 or G2 leiomyoma based on leiomyoma weight.MethodsThe data from 544 patients who underwent one‐step hysteroscopic myomectomy were analyzed retrospectively. A total of 340 patients with leiomyoma penetrating the intramural cavity were identified as suitable candidates for calculation of the OT based on leiomyoma weight; we considered leiomyoma weight to be the most objective parameter for evaluating leiomyoma tissues. Additionally, 460 patients with a single leiomyoma were analyzed to estimate the weight of the resected leiomyoma based on its diameter.ResultsConsidering total leiomyoma weight (TLW) and two additional coefficients (1.5: G2 leiomyoma, 0.75: vaginal parity of the patient), we demonstrated that our formula correlated well with OT (R 2 = 0.72). TLW also correlated well with the cube of the average diameter (AD) of leiomyomas (R 2 = 0.89). Predicting TLW significantly improved the application of specific coefficients depending on its value (1.0: AD 0.1‐2.0 cm, 0.8: AD 2.1‐3.0 cm, 0.7: AD 3.1‐5.7 cm).ConclusionThe OT for hysteroscopic myomectomy of intracavital leiomyoma can be predicted prior to surgery using simple clinical information of the target leiomyoma and the patient.

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Comparative characteristics of the effect of mono and bipolar energy during hysteroresectoscopy

Golyanovskiy

Voloshyn

Novosad

2022

RHW

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The objective: to evaluate of postoperative complications, duration of surgical intervention and hospital stay of patients after hysteroscopic surgery using monopolar or bipolar electrodes.Materials and methods. Eighty gynecological patients who had hysteroscopic surgery were divided into two groups of 40 women each. Patients of the I (main) group had hysteroscopic procedures using a bipolar electrode, the persons in the II (comparison) group – a monopolar electrode. The registration of operative complications was carried out – bleeding, perforation, excess fluid and hyponatremia. The time of operation and stay in a gynecological hospital were also taken into account.Results. There were no statistically significant differences between the two groups regarding patient’s characteristics, ultrasound findings, serum sodium levels before and after surgery, uterine perforation, and intraoperative bleeding. Fluid overload was significantly higher in patients of the II group (p<0.03). Postoperative hyponatremia was also significantly pronounced in the II group (p<0.05). The average operation time was significantly shorter in women of the I group compared to the II group (p=0.01), and the hospital stay was significantly shorter for patients after hysteroscopic intervention using bipolar energy compared to the group in which monopolar energy was used (p=0.04). Conclusions. Hysteroresectoscopy with the use of bipolar electrodes is accompanied by a significant decrease in cases of hyponatremia, reduction of the duration of surgical intervention and the stay of gynecological patients in the hospital after surgery. Therefore, this method is safe and effective compared to the use of monopolar electrodes.

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Safety and efficacy of manual syringe infusion of distending media for hysteroscopic procedures: a case–control study

Cited by 3 publications

References 24 publications

Manual versus Pump Infusion of Distending Media for Hysteroscopic Procedures: A Randomized Controlled Trial

Manual versus Pump Infusion of Distending Media for Hysteroscopic Procedures: A Randomized Controlled Trial

Prediction of the operative time for hysteroscopic myomectomy for leiomyomas penetrating the intramural cavity using leiomyoma weight and clinical characteristics of patients

Comparative characteristics of the effect of mono and bipolar energy during hysteroresectoscopy

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