Detecting and quantifying absorbed irrigation fluid by measuring mannitol and sorbitol concentrations in serum samples, and by ethanol monitoring

Gehring, Hartmut; Hornberger, Christoph; Dibbelt, L.; Dörges, Volker; Eichenauer, Rolf; Schmucker, P.

doi:10.1046/j.1464-4096.2001.01198.x

Cited by 9 publications

(4 citation statements)

References 27 publications

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“…Furthermore, in the uterus, a relatively large tissue surface is exposed to diathermy and fluid absorption increases with the extent of the resection as vascular channels on the endometrial surface are opened . A volumetric fluid balance to calculate intravasation during TURP is known to be very inaccurate . In the present study, measurements were hampered by the spill of irrigation fluid and urinary excretion.…”

Section: Discussionmentioning

confidence: 85%

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Carboxyhaemoglobin formation and ECG changes during hysteroscopic surgery, transurethral prostatectomy and tonsillectomy using bipolar diathermy

et al. 2014

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SummaryDiathermy is known to produce a mixture of waste products including carbon monoxide. During transcervical hysteroscopic surgery, carbon monoxide might enter the circulation leading to the formation of carboxyhaemoglobin. In 20 patients scheduled for transcervical hysteroscopic resection of myoma or endometrium, carboxyhaemoglobin was measured before and at the end of the surgical procedure, and compared with levels measured in 20 patients during transurethral prostatectomy, and in 20 patients during tonsillectomy. Haemodynamic data, including ST-segment changes, were recorded. Levels of carboxyhaemoglobin increased significantly during hysteroscopic surgery from median (IQR [range]) 1.0% (0.7-1.4 [0.5-4.9])% to 3.5% (2.0-6.1 [1.3-10.3]%, p < 0.001), compared with levels during prostatectomy or tonsillectomy. Significant ST-segment changes were observed in 50% of the patients during hysteroscopic surgery. Significant correlations were observed between the increase in carboxyhaemoglobin and the maximum ST-segment change (q = À0.707, p < 0.01), between the increase in carboxyhaemoglobin and intravasation (q = 0.625; p < 0.01), and between intravasation and the maximum ST-segment change (q = À0.761; p < 0.01). The increased carboxyhaemoglobin levels during hysteroscopic surgery appear to be related to the amount of intravasation and this could potentially be a contributing factor to the observed ST-segment changes.

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Section: Discussionmentioning

confidence: 85%

“…The uterus has a relatively thick wall compared with the bladder, requiring high distension pressures. During distension of the uterine cavity, mean intrauterine pressures are up to 100 mmHg .…”

Section: Discussionmentioning

confidence: 99%

Carboxyhaemoglobin formation and ECG changes during hysteroscopic surgery, transurethral prostatectomy and tonsillectomy using bipolar diathermy

et al. 2014

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“…Aragona 19 estudia la reabsorción de líquido con el método de Etanol en RTU a baja presión. Otros estudios han demostrado la utilidad del etanol como buen marcador de reabsorción [20][21] .…”

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Análisis de los factores de reabsorción de líquido de irrigación durante la RTU de próstata

et al. 2005

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este estudio fue nuestra intención evaluar la relación entre la reabsorción de líquido de irrigación y tres variables: tiempo de la intervención, volumen de solución de glicina empleado y peso de los fragmentos, durante la RTU de próstata realizada a baja presión hidráulica.Material y método: Estudiamos 74 pacientes a los que se realizó RTU de próstata con derivación suprapúbica con vaina de Amplatz 30 ch. Se monitorizó el etanol en aire expirado cada 15 minutos durante la intervención. Así mismo se anotaron el tiempo de la intervención, el volumen de glicina utilizado y el peso de los fragmentos extraídos. Estadísticamente se utilizó el Test de Anova para comparación de medias.Resultados: Un 13,6 % de los pacientes absorbieron líquido de irrigación en alguna cantidad. El rango de absorción es de 100 cc hasta 2.000 cc. No se encontró una diferencia estadísticamente significativa entre las medias del tiempo de resección, del volumen de glicina y del peso de los fragmentos entre el grupo de pacientes que había reabsorbido líquido de irrigación y los que no reabsorbieron.Conclusiones: Nuestro estudio pone de manifiesto que el tiempo operatorio, el volumen de líquido de irrigación y el peso de los fragmentos resecados no influyen en la reabsorción de líquido de irrigación cuando se realiza una RTU a baja presión hidráulica. ABSTRACT ANALYSIS OF THE ABSORCION´S FACTORS OF IRRIGATING FLUID DURING TRANSURETHRALRESECTION OF THE PROSTATE Objetives: In this study it was our intention to evaluate the relation between the reabsorption of irrigating fluid and three variables: time of the intervention, volume of solution of glicina employee and weight of the fragments, during the RTU of prostate fulfilled to low hydraulic pressure.Material and method: We Study 74 patients that RTU of prostate was performed with suprapúbica derivation with Amplatz's pod 30 ch. The ethanol was monitored in expired air every 15 minutes during the intervention. Likewise we annotated the time of the intervention, the volume of glicina used and the weight of the fragments extracted. Statistically Anova's text was in use for comparison of averages.Results: 13,6 % of the patients absorbed irrigating fluid in some quantity. The range of absorption belongs to 100 cc until 2.000 cc. We did not find a statistically significant difference in the averages of time of resection, volume of glicina and weight of the fragments between the group of patients that had absortion of irrigating fluid and they that didn´t had.Conclusions: Our data show that the operative time, the volume of irrigating fluid and the weight of the resected fragments do not influence the reabsorption of liquid of irrigation when a RTU is realized to low hydraulic pressure.

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Análisis de los factores de reabsorción de líquido de irrigación durante la RTU de próstata

Zapata

Benito

Gil

et al. 2005

Actas Urológicas Españolas

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Detecting and quantifying absorbed irrigation fluid by measuring mannitol and sorbitol concentrations in serum samples, and by ethanol monitoring

Cited by 9 publications

References 27 publications

Carboxyhaemoglobin formation and ECG changes during hysteroscopic surgery, transurethral prostatectomy and tonsillectomy using bipolar diathermy

Carboxyhaemoglobin formation and ECG changes during hysteroscopic surgery, transurethral prostatectomy and tonsillectomy using bipolar diathermy

Análisis de los factores de reabsorción de líquido de irrigación durante la RTU de próstata

Análisis de los factores de reabsorción de líquido de irrigación durante la RTU de próstata

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