Re: ? perf at hysteroscopy

From: Dr Eberhard Lisse (el@lisse.NA)
Tue Aug 28 09:34:23 2007


Laparoscopy.

el

on 8/28/07 3:15 PM FRANCES WREN said the following:

> just in with a colleague who did an endo ablation..... did not
> appear to have any problems..no evidence of perf... however 4000 cc
> glycine in via hysteroscope...and only 1300 cc out in the suction.
>
> assuming perf... urine clear,so not there. needle in cul de
> sac..just a little fluid there ,however looked distinctly like
> diluted stuff..versus usual intraperitoneal fluid.
>
> Px'd with lasix and saline @150 cc hourly.....maybe should inc rate
> of saline to prevent the hyponatremia from electrolyte osmosis from
> the glycine?????
>
> any other suggestions listers?????
>
> frances wren





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