Symptomatic absorption of isotonic saline during transcervical endometrial resection

Johansson, Joakim; Lindahl, Magnus S.; Gyllencreutz, Erika; Hahn, Robert G.

doi:10.1111/aas.12834

Cited by 6 publications

(2 citation statements)

References 11 publications

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“…In another case report, the patient’s pH changed from 7.41 to 7.28 in 120 min due to rapid absorption of 6 L of irrigated normal saline [ 4 ]. The assumed amount of normal saline absorbed in our case was approximately 8.4 L, which was calculated based on a formula using serum chloride concentration in a previous report [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Symptomatic absorption of normal saline during transurethral resection of the prostate: a case report

et al. 2022

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Background Transurethral resection of the prostate (TUR-P) could incidentally cause hyponatremia, known as TUR syndrome due to intravascular absorption of non-electrolytic irrigation fluid. Recently, normal saline has been used as an irrigation fluid in a new system named TURis (TUR in saline) to prevent TUR syndrome. However, rapid massive absorption of normal saline can also cause other systemic adverse events. Case presentation A 71-year-old man underwent TURis for benign prostatic hyperplasia under spinal anesthesia. The patient lost consciousness which led upper airway obstruction and hypoxia 30 min after the surgery began. Blood gas test indicated hyperchloremic metabolic acidosis. While vasoactive agents were ineffective, the administration of bicarbonate significantly improved the symptoms and restored blood pressure. Conclusion We experienced a case of hyperchloremic metabolic acidosis with decreased level of consciousness and hypotension during TURis. Administration of bicarbonate, but not phenylephrine, was effective for recovering blood pressure.

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Section: Discussionmentioning

confidence: 99%

Symptomatic absorption of normal saline during transurethral resection of the prostate: a case report

et al. 2022

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“…Bipolar resectoscopes enable transcervical submucous fibroid resection, uterine septum resection, endometrial polyp removal, endometrial biopsy and ablation, and intrauterine adhesiolysis [18,19]. Utilization of this resectoscope enables the use of distension media that have a low viscosity and contain electrolytes, such as 0.9% sodium chloride and Ringer's lactate, which reduces the risk of hyponatremia and transurethral resection of the prostate syndrome during the surgical procedure [20].…”

Section: Development Of Hysteroscopy In the Second Half Of The 20th Cmentioning

confidence: 99%

Hysteroscopy - history and development

et al. 2019

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Hysteroscopy is the gold standard for diagnosing and managing endocervical and endometrial pathology. The development of today's hysteroscopy begins in the early 19th century. Initially, hysteroscopy was used solely for diagnostics. Operative hysteroscopy surfaced with the development of distension media, the hysteroscope, and its associated instruments. Operative hysteroscopy underwent the most significant development in the early 1970s, when new hysteroscopes were introduced, and the distension media became more widely used. A multitude of hysteroscopic procedures are performed with the common goal of removing pathological changes in the endometrial cavity. In the 1980s, small cameras, also known as "chip" cameras, were developed, leading to the transition of endoscopy into videoendoscopy. Bettocchi revolutionized modern hysteroscopy in 1996 when he used the first operative office hysteroscope. Operative resectoscopes, containing monopolar and bipolar energy, were also constructed. Hysteroscopic morcellators have been in use since the beginning of the 21st century. Today's modern hysteroscopy represents a safe diagnostic and operative endoscopy.

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What the Intensive Care Physician Should Know About the Transurethral Resection Syndrome

Hahn

2019

Annual Update in Intensive Care and Emergency Medicine 2019

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Symptomatic absorption of isotonic saline during transcervical endometrial resection

Abstract: CitationJohansson J, Lindahl M, Gyllencreutz E, Hahn RG. Symptomatic absorption of isotonic saline during transcervical endometrial resection.

Cited by 6 publications

References 11 publications

Symptomatic absorption of normal saline during transurethral resection of the prostate: a case report

Symptomatic absorption of normal saline during transurethral resection of the prostate: a case report

Hysteroscopy - history and development

What the Intensive Care Physician Should Know About the Transurethral Resection Syndrome

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