New Iglesias Resectoscope with Simultaneous Suction and Continuous Irrigation

Abstract

A new Iglesias resectoscope with simultaneous suction and continuous irrigation has been described. Advantages of this instrument include: No interruption, better endoscopic vision, decreased intravesical pressure during the TUR, shorter operating time, less bleeding, easier teaching and no more wet floor or wet surgeon. Since the entire amount of irrigating fluid is collected, blood loss can be calculated and amount of absorption determined.

Intravesical Pressure During Transurethral Resection Using Iglesias Resectoscope with Continuous Irrigation and Suction

“…In Iglesias' first reports (Iglesias, 1975;lglesias et al, 1975;, the height of the irrigant infusion bottle above the pubic bone was 70 cm and the suction pressure was 280 to 500 cm H,O. The consumption of irrigant fluid was about 600 ml/min and the intravesical pressure was fairly constant at 13 cm H,O.…”

“…The resectoscope has been described in detail elsewhere (Iglesias, 1975;. In brief, its sheath has two separate conduits, an inner for inflow of the irrigant and a smaller-calibre outer channel for the outflow.…”

“…A new resectoscope with continuous irrigation and suction was recently designed by Iglesias (Iglesias, 1975;Iglesias, Sporer, Gellman & Seebode, 1975;. A new resectoscope with continuous irrigation and suction was recently designed by Iglesias (Iglesias, 1975;Iglesias, Sporer, Gellman & Seebode, 1975;.…”

Instruments of Transurethral Prostate Resection

“…Üret-roskopide en iyi görüntü direk karşıyı görmeyi sağlayan 0 derece optiklerdir. [8,[10][11][12][13]. Stern-McCarty rezektoskoplar çift elle kullanılırken diğerleri tek elle kullanılıp aktif yay sistemine sahiptirler [8].…”

“…Stern-McCarty rezektoskoplar çift elle kullanılırken diğerleri tek elle kullanılıp aktif yay sistemine sahiptirler [8]. İglesias tip rezektoskoplar ise çift musluklu olarak isimlendirilen kontinü sisteme sahiptirler [10]. Enerji kaynağı olarak monopolar ve bipolar sistemler kullanılmaktadır.…”