What are the alternatives of Glycine in Operative Hysteroscopy?
| Discussion in 'All Categories' started by Dr. Srilata - May 23rd, 2016 7:21 am. | |
Dr. Srilata
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I want to know that What are the alternatives of Glycine in Operative Hysteroscopy? Glycene has a big complication of hyponitremia so I want to use alternative fluid which should be safe in operative hysteroscopy. |
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re: What are the alternatives of Glycine in Operative Hysteroscopy?
by Dr.S.Hussain -
May 24th, 2016
5:34 am
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Dr.S.Hussain
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Thank you Dr. srilata, Glycine metabolizes into ammonia and can cross the blood brain barrier, causing agitation, vomiting, hypothermia and coma, So In this case You can use Mannitol 5% instead of when using monopolar electrosurgical devices. Mannitol 5% has a diuretic effect and can also cause hypotension and circulatory collapse. The mannitol/sorbitol mixture (Purisol) should be avoided in patients with fructose malabsorption. |
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re: What are the alternatives of Glycine in Operative Hysteroscopy?
by Dr. Srilata -
May 24th, 2016
10:54 am
#2
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Dr. Srilata
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Dear Dr Hussain, Thanks for nice explanation. But I want to know that can I use bipolar for hysteroscopy. Bipolar does not cut so I am afraid that it may not be used during resection of myoma. |
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re: What are the alternatives of Glycine in Operative Hysteroscopy?
by DR Avinsah -
May 27th, 2016
9:05 am
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DR Avinsah
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Of all the available fluids glycine is best.complete ur surgery with in 60 min.either choose small myomas or increase ur speed.in no case exceed 1hr. |
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re: What are the alternatives of Glycine in Operative Hysteroscopy?
by Dr R K Mishra -
May 29th, 2016
12:24 pm
#4
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Dr R K Mishra
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If you want further safety you can use Normal Saline with Versapoint. Versapoint does not need glycine as traditional resectoscope. This bipolar system has the potential to transform the way operative hysteroscopy is performed. It can reduce operative costs by using a single intervention to diagnose and treat surgically various uterine pathology. This system is indicated for the treatment of myomas, polyps, intrauterine adhesions, uterine septa and benign conditions using advanced technology that operates in normal saline. The GYNECARE VERSAPOINT Resectoscope permits direct viewing and access to the uterine cavity for performing hysteroscopic surgical procedures |
