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Clinical Trial
. 1998 Jan-Mar;2(1):51-5.

Safe and effective fluid management by automated gravitation during hysteroscopy

T Tomazevic  1 , L Savnik, M Dintinjana, M Ribic-Pucelj, M Pompe-Tansek, A Vogler, D Kos
Affiliations
Clinical Trial

Safe and effective fluid management by automated gravitation during hysteroscopy

T Tomazevic et al. JSLS. 1998 Jan-Mar.

Abstract

Objective: The automated gravitational Vario Flow system with weighing-based electronic fluid deficit indicator was used in order to reduce the risk of fluid intravasation during continuous flow hysteroscopic procedures. Early experiences are reported.

Methods: Between August 1996 and July 1997, the Vario Flow with fluid deficit indicator and alarm system was used in 203 hysteroscopic operations. Between January 1994 and August 1996 the Vario Flow without fluid deficit indicator was used in 240 hysteroscopic operations. In all, there were 443 hysteroscopic operations: 301 metroplasties, 20 endometrial ablations, 10 cases of lysis of synechiae, 58 myomectomies and 54 polypectomies. The data on fluid deficit before and after the introduction of the electronic fluid deficit indicator were similar.

Results: Fluid deficit indicator was proved highly efficient in 203 operations. It provided the information on fluid deficit at any moment during hysteroscopic operations. Besides intrauterine pressure, the actual fluid deficit has become one of the leading parameters during our continuous flow hysteroscopic procedures.

Conclusions: We therefore conclude that by using an automated gravitational system with fluid deficit indicator and alarm system, the safety for patients during hysteroscopic procedures has been increased.

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Figures

Figure 1.
Figure 1.
Schematic of the Vario Flow with fluid deficit indicator.
Figure 2.
Figure 2.
The Vario Flow with or without fluid deficit indicator.
Figure 3.
Figure 3.
Receptacle with the display.
Figure 4.
Figure 4.
Display of fluid deficit indicator.
See this image and copyright information in PMC

References

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    1. Loffer FD. The need to monitor intrauterine pressure - myth or necessity. J Am Assoc Gynecol Laparoscopists. 1994;2:1–2 - PubMed

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