I appreciate the comments of Laberge et al. Bradley, and Favilli et al. on my editorial
“Hysteroscopic Fluid Overload: Prevention, Prevention, Prevention.”
1
It is indeed an important topic that has to be addressed. For the purpose of the
editorial, I consulted the following sources: Practice Guidelines for the Management of Hysteroscopic Distending Media from the American Association for Gynecologic Laparoscopists,
2
the guidelines of the International Society for Gynecologic Endoscopy on hysteroscopic
myomectomy,
3
the American College of Obstetricians and Gynecologists committee opinion on hysteroscopy,
4
the combined guidelines of the British Society for Gynaecological Endoscopy and European
Society for Gynaecological Endoscopy,
5
and the 2015 Society of Obstetricians and Gynaecologists of Canada guideline on endometrial
ablation.
6
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References
- Hysteroscopic fluid overload: prevention, prevention, prevention.J Obstet Gynaecol Can. 2022; 44: 5-6
- AAGL. Practice report: practice guidelines for the management of hysteroscopic distending media. (Replaces hysteroscopic fluid monitoring guidelines. J Am Assoc Gynecol Laparosc 2000;7:167–8.).J Minim Invasive Gynecol. 2013; 20: 137-148
- Hysteroscopic myomectomy: The guidelines of the International Society for Gynecologic Endoscopy (ISGE).Eur J Obstet Gynecol Reprod Biol. 2022; 268: 121-128
- The use of hysteroscopy for the diagnosis and treatment of intrauterine pathology.Obstet Gynecol. 2020; 135: e138-e148
- BSGE/ESGE guideline on management of fluid distension media in operative hysteroscopy.Gynecol Surg. 2016; 13: 289-303
- Endometrial ablation in the management of abnormal uterine bleeding.J Obstet Gynaecol Can. 2015; 37: 362-379
- Changes in serum electrolytes after transcervical resection of endometrium and submucous fibroids with use of glycine 1.5% for uterine irrigation.Obstet Gynecol. 1992; 80: 218-222
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© 2022 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
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- Letter: Hysteroscopic Fluid ManagementJournal of Obstetrics and Gynaecology Canada Vol. 44Issue 5
- PreviewWe read with great interest the editorial written by Dr. Tulandi in the January edition of JOGC on the dangers of fluid absorption during hysteroscopic surgery. We fully agree on the importance of carefully monitoring fluid absorption and also agree on tips and tricks to mitigate absorption, which are recommended in his editorial. We add to these suggestions minimizing the use of general anesthesia, which is associated with more fluid absorption than local anesthesia with intravenous sedation.1 However, Dr.
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