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Gynecol. Obstet. Invest. · Jan 1999
Experience with isotonic 2.2% glycine as distension medium for hysteroscopic endomyometrial resection.
- A M Tapper and P K Heinonen.
- Department of Obstetrics and Gynecology, Tampere University Hospital, Finland.
- Gynecol. Obstet. Invest. 1999 Jan 1; 47 (4): 263-7.
AbstractThe feasibility of performing hysteroscopic endomyometrial resection using isotonic 2.2% glycine as distension medium was studied in 181 consecutive operations. A standard continuous flow loop-resectoscope was used. Distension was achieved by means of a gravity-fed system and glycine flowed out under its own pressure. The mean (+/-SEM) glycine deficit was 160+/-20 ml and in only 7 patients was it >1 liter (maximum 1,800 ml). Only in patients with >1 liter glycine absorption was there a significant decrease in serum sodium level (mean 9 mmol/l), while serum osmolality remained normal. Apart from 1 case of transient nausea, these patients had no sequelae. We experienced isotonic 2.2% glycine as a useful and safe distending medium for operative hysteroscopy.
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