Operative hysteroscopy intravascular absorption syndrome is more than just the gynecological transurethral resection of the prostate syndrome: A case series and literature review
Objective: Operative hysteroscopy intravascular absorption (OHIA) syndrome refers to fluid overload complications from operative hysteroscopies. Despite guidelines for safe operative hysteroscopies, instances of OHIA syndrome have been reported. Case report: We reported three cases of OHIA syndrome....
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455920301765 |
| _version_ | 1818502763548508160 |
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| author | Ming-Tse Wang Chuen-Chau Chang Ming-Hui Hsieh Ching-Wen Chang Yu-Hsuan Fan Chiang Hsiao-Chien Tsai |
| author_facet | Ming-Tse Wang Chuen-Chau Chang Ming-Hui Hsieh Ching-Wen Chang Yu-Hsuan Fan Chiang Hsiao-Chien Tsai |
| author_sort | Ming-Tse Wang |
| collection | DOAJ |
| description | Objective: Operative hysteroscopy intravascular absorption (OHIA) syndrome refers to fluid overload complications from operative hysteroscopies. Despite guidelines for safe operative hysteroscopies, instances of OHIA syndrome have been reported. Case report: We reported three cases of OHIA syndrome. A 48-year-old female patient presented net irrigation fluid of 11,900 mL and developed severe metabolic acidosis, conscious disturbance, acute pulmonary edema, and unexpected intensive care unit admission. A 49-year-old female patient presented net irrigation fluid of 4500 mL and developed desaturation and acute pulmonary edema. A 45-year-old female patient presented net irrigation fluid of 2400 mL and developed hyponatremia, increased hilum lung marking, and prolonged postanesthesia care unit observation. Conclusion: For safety, clinicians should use isotonic electrolyte–containing distension media and bipolar electrosurgical instruments in operative hysteroscopies, and fluid status should be monitored closely, particularly at net and total irrigation amounts >3000 and > 8000 mL, respectively. Intrauterine pressure should also be minimized to reduce intravascular and intraperitoneal absorption. |
| first_indexed | 2024-12-10T21:14:47Z |
| format | Article |
| id | doaj.art-fab10b352b4b47e9a9689d8b9f07fcc3 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-10T21:14:47Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-fab10b352b4b47e9a9689d8b9f07fcc32022-12-22T01:33:21ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592020-09-01595748753Operative hysteroscopy intravascular absorption syndrome is more than just the gynecological transurethral resection of the prostate syndrome: A case series and literature reviewMing-Tse Wang0Chuen-Chau Chang1Ming-Hui Hsieh2Ching-Wen Chang3Yu-Hsuan Fan Chiang4Hsiao-Chien Tsai5Department of Anesthesiology, Taipei Medical University Hospital, Taipei Medical University, Taipei, TaiwanDepartment of Anesthesiology, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan; Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Anesthesiology and Health Policy Research Center, Taipei Medical University Hospital, Taipei, TaiwanDepartment of Anesthesiology, Taipei Medical University Hospital, Taipei Medical University, Taipei, TaiwanDepartment of Obstetrics & Gynecology, Taipei Medical University Hospital, Taipei Medical University, Taipei, TaiwanDepartment of Anesthesiology, Taipei Medical University Hospital, Taipei Medical University, Taipei, TaiwanDepartment of Anesthesiology, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan; Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan; Corresponding author. Department of Anesthesiology, Taipei Medical University Hospital, No. 252, Wuxing St., Xinyi Dist., Taipei, 110, Taiwan.Objective: Operative hysteroscopy intravascular absorption (OHIA) syndrome refers to fluid overload complications from operative hysteroscopies. Despite guidelines for safe operative hysteroscopies, instances of OHIA syndrome have been reported. Case report: We reported three cases of OHIA syndrome. A 48-year-old female patient presented net irrigation fluid of 11,900 mL and developed severe metabolic acidosis, conscious disturbance, acute pulmonary edema, and unexpected intensive care unit admission. A 49-year-old female patient presented net irrigation fluid of 4500 mL and developed desaturation and acute pulmonary edema. A 45-year-old female patient presented net irrigation fluid of 2400 mL and developed hyponatremia, increased hilum lung marking, and prolonged postanesthesia care unit observation. Conclusion: For safety, clinicians should use isotonic electrolyte–containing distension media and bipolar electrosurgical instruments in operative hysteroscopies, and fluid status should be monitored closely, particularly at net and total irrigation amounts >3000 and > 8000 mL, respectively. Intrauterine pressure should also be minimized to reduce intravascular and intraperitoneal absorption.http://www.sciencedirect.com/science/article/pii/S1028455920301765Fluid overloadGynecological TURP syndromeOHIA syndromeOperative hysteroscopy=> hysteroscopic surgeryNet irrigation & total irrigation amount=> therapeutic irrigations |
| spellingShingle | Ming-Tse Wang Chuen-Chau Chang Ming-Hui Hsieh Ching-Wen Chang Yu-Hsuan Fan Chiang Hsiao-Chien Tsai Operative hysteroscopy intravascular absorption syndrome is more than just the gynecological transurethral resection of the prostate syndrome: A case series and literature review Taiwanese Journal of Obstetrics & Gynecology Fluid overload Gynecological TURP syndrome OHIA syndrome Operative hysteroscopy=> hysteroscopic surgery Net irrigation & total irrigation amount=> therapeutic irrigations |
| title | Operative hysteroscopy intravascular absorption syndrome is more than just the gynecological transurethral resection of the prostate syndrome: A case series and literature review |
| title_full | Operative hysteroscopy intravascular absorption syndrome is more than just the gynecological transurethral resection of the prostate syndrome: A case series and literature review |
| title_fullStr | Operative hysteroscopy intravascular absorption syndrome is more than just the gynecological transurethral resection of the prostate syndrome: A case series and literature review |
| title_full_unstemmed | Operative hysteroscopy intravascular absorption syndrome is more than just the gynecological transurethral resection of the prostate syndrome: A case series and literature review |
| title_short | Operative hysteroscopy intravascular absorption syndrome is more than just the gynecological transurethral resection of the prostate syndrome: A case series and literature review |
| title_sort | operative hysteroscopy intravascular absorption syndrome is more than just the gynecological transurethral resection of the prostate syndrome a case series and literature review |
| topic | Fluid overload Gynecological TURP syndrome OHIA syndrome Operative hysteroscopy=> hysteroscopic surgery Net irrigation & total irrigation amount=> therapeutic irrigations |
| url | http://www.sciencedirect.com/science/article/pii/S1028455920301765 |
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