What is the most commonly used distention media for office hysteroscopy?
Carbon dioxide and low-viscosity fluids are the most frequently used distending media. Each medium has advantages and disadvantages, including specific safety concerns. (See “Overview of hysteroscopy”.)
Why does the uterine distention fluid have to be closely monitored during hysteroscopy?
These procedures require distention media to ensure optimal visualization throughout the procedure. Vigilant monitoring of fluid is essential during procedures to accurately measure fluid deficit and ensure the safety of the patient.
What is hysteroscopy DD C?
D&C (Dilation and Curettage) with Hysteroscopy are procedures that are performed together, these procedures are used to: Diagnose or treat abnormal bleeding from the uterus, such as heavy or long menstrual periods or bleeding between periods Remove polyps or fibroid Find out whether a woman has cancer of the uterus.
What is the LiNA procedure?
Hysteroscopy is a common and relatively quick procedure (typically between 5 and 30 minutes) that allows your doc- tor to look inside your uterus (womb). This can be performed using the LiNA OperåScopeTM single-use operative hystero- scope.
What is fluid overload in hysteroscopy?
Known complications include uterine perforation, massive bleeding, and fluid overload [1]. Fluid overload can occur because of continuous infusion of fluid media for distending the uterus and can be accompanied by severe complications, such as pulmonary edema, hyponatremia, hypo-osmolarity, and cerebral edema.
What is AD and E?
(D & E) is a procedure to open (dilate) the cervix and. surgically clear the contents of the uterus (evacuation). It is typically done before 15 weeks of pregnancy or after a miscarriage. Because it signals the end of a pregnancy, the choice whether to have a D & E can be difficult.
What is Sonohysterogram?
Sonohysterography is a procedure to look at the inside of the uterus. It’s a safe, painless test that uses sound waves and a computer to create images. It does not use radiation. The uterus (womb) is the organ where a baby grows during pregnancy. The bottom of the uterus is called the cervix.
What is a bipolar resectoscope?
In bipolar electrosurgery, the current flow through the tissue is restricted to the area between the two electrode’s loops that are under visual control of the surgeon (Figs. 1 and 2). In this case, saline solution can be used as distension media because it has no risk of current dispersion.
What is the aim of the hysteroscopy of distension media guideline?
The aim of this guideline is to provide clinicians with up-to-date, evidence-based information regarding management of distension media in operative hysteroscopy, with particular reference to prevention and management of complications that may arise from fluid overload. Identification and assessment of evidence
What is the minimum pressure required for uterine distention during hysteroscopy?
DISTENSION MEDIA IN HYSTEROSCOPY Dr Mandeep Bhandal 2. Uterine distention mediumUterine cavity- a potential spaceMinimum pressure – 30 mmHg to separate uterine walls – 45-80 mmHg to expand uterine cavity, rarely >100 mmHgMAP ~ 100 mmHg 3.
What media should be used for electrosurgical hysteroscopy?
Hypotonic, electrolyte-free distension media such as glycine and sorbitol should only be used with monopolar electrosurgical instruments. [D] Carbon dioxide gaseous media should not be used for operative hysteroscopy. [GPP] Open in a separate window Fluid media are most suitable when undertaking operative procedures.
What is hysteroscopy used to diagnose?
Hysteroscopy enables visualisation of the uterine cavity and allows the diagnosis and surgical treatment of intrauterine pathology. To achieve this, the uterine cavity needs to be distended by a medium which could either be fluid or carbon dioxide [1].