The degree of fluid absorption during hysteroscopic surgery in patients pretreated with goserelin

Taşkın, Ömür; Yalcinoglu, A. Ihsan; Kucuk, Senol; Burak, Feza; Özekici, Ümit; Wheeler, James M.

doi:10.1016/s1074-3804(05)80167-7

Cited by 48 publications

(8 citation statements)

References 15 publications

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“…Menopausal status - premenopausal patients have a higher risk of developing neurological complications due to the suppressive effects of oestrogen on the ATPase pump which regulates the flow of electrolytes through the blood brain barrier [19, 20]. …”

Section: Complications Of Distending Mediamentioning

confidence: 99%

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BSGE/ESGE guideline on management of fluid distension media in operative hysteroscopy

et al. 2016

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Section: Complications Of Distending Mediamentioning

confidence: 99%

“…A small RCT by Taskin et al [19] showed statistical difference in the reduction of serum sodium concentration but not in glycine deficit in women treated preoperatively with GnRH agonists. Another RCT [49] did not show a statistically significant difference in fluid deficit with the use of GnRH agonists.…”

Section: Strategies To Reduce Fluid Absorptionmentioning

confidence: 99%

BSGE/ESGE guideline on management of fluid distension media in operative hysteroscopy

et al. 2016

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“…This finding is shared also by Gambone et al [39] who moreover state that for women in whom endometriosis is the suspected cause of CPP the best approach seems to use medical therapy, including second-line therapies such as danazol, GnRH agonists, and progestins until there is necessity for surgery. Although OC could be used as a treatment, Taskin et al [61] suggest another possible diagnostic role in differentiating endometriosis-related CPP from other causes: they found that unresponsiveness to low-dose OC after 4 to 6 months is highly sensitive and predictive of organic pelvic disorders, such as endometriosis as the cause of pelvic pain. Stones et al [8] reported that medroxyprogesterone acetate was associated with a reduction of pain during treatment.…”

Section: Medical Treatmentmentioning

confidence: 99%

Chronic Pelvic Pain in Endometriosis: An Overview

Triolo¹

2013

J Clin Med Res

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Chronic pelvic pain (CPP) could be considered nowadays a deep health problem that challenges physicians all over the world. This because its aetiology is still unclear, the course of the disease could vary a lot among different patients and through time in the same patient, and the response to treatments is not every time successful. Among women who underwent laparoscopy for CPP, endometriosis is found in about 1/3 of the cases, while only 25% of women with histological confirmed endometriosis are asymptomatic. A wide range of variables may exert their influence on the resulting pain syndrome in endometriosis; for example, score according to American society for reproductive medicine (rASRM), size of the sub-peritoneal and pelvic wall implants, Douglas obliteration, previous surgery. It is widely accepted nowadays that central nervous system (CNS) and peripheral nervous system (PNS) seems to influence each other and this interconnection play a key role in pain modulation. Moreover, the phenomena induced by endometriosis in the pelvis, including the breakdown of peritoneal homeostasis and the induction of the production of proinflammatory and proangiogenic cytokines, are responsible of altered innervations and modulation of pain pathways in these patients. There are many proposed medical and surgical approach to treat this painful syndrome, although there is necessity of more efforts to create new non-invasive strategies that set a more accurate diagnosis of the causes of endometriotic-related CPP, and therefore facilitate its eradication.

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“…Also, the use of a 1% alcohol/1.5% glycine solution was reported as insufficient to assess the overall fluid balance 14 . On the contrary, GnRH analogues administered preoperatively were of benefit by lowering the risk of distending media intravasation 15 …”

Section: Media‐related Complicationsmentioning

confidence: 99%

“…14 On the contrary, GnRH analogues administered preoperatively were of benefit by lowering the risk of distending media intravasation. 15 One of the main priorities during a hysteroscopic procedure should always be to monitor the arterial pressure, the hematocrit, the proteins of plasma, the plasma volume, and the deficit of the distending medium. Any deficit greater than 1,000 mL should lead to the termination of the hysteroscopic procedure, administration of diuretics and oxygen, and monitoring of blood and central venous pressure.…”

Section: Fluid Overloadmentioning

confidence: 99%

Safety Issues of Hysteroscopic Surgery

Paschopoulos

Polyzos

Lavasidis

et al. 2006

Annals of the New York Academy of Sciences

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The term hysteroscopy is used to determine the procedure during which an endoscopic view of the endometrial cavity is achieved with the help of a type of endoscopic device called "the hysteroscope." Hysteroscopy is used to assist the diagnosis for a series of female pathology. Apart from its diagnostic value, hysteroscopy can also be used for operative procedures including ablation and resection. Both diagnostic and operative hysteroscopy have been used for a number of years and various studies have been published to describe their success and complication rates throughout this period. Diagnostic hysteroscopy is relatively safe, whereas complications occur more frequently when operative hysteroscopy is used. These complications include uterine perforation, hemorrhage, fluid overload, gas embolization, and hyponatremia. The rate in the appearance of these complications is dependent on the type of the hysteroscopic procedure, the distending medium, and the experience of the hysteroscopist. To avoid any problems concerning the application of hysteroscopic procedures, it is important to take the necessary precautions both preoperatively and intraoperatively. For example, the preoperative use of thinning agents of the endometrium and the reduction of the operating time, or the avoidance of cutting too deeply into the myometrium, are some of the parameters to be considered when hysteroscopy is in argument.

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The degree of fluid absorption during hysteroscopic surgery in patients pretreated with goserelin

Cited by 48 publications

References 15 publications

BSGE/ESGE guideline on management of fluid distension media in operative hysteroscopy

BSGE/ESGE guideline on management of fluid distension media in operative hysteroscopy

Chronic Pelvic Pain in Endometriosis: An Overview

Safety Issues of Hysteroscopic Surgery

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