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Transcervical endometrial resection syndrome
M McSwiney1, J Myatt, M Hargreaves
1Shackleton Department of Anaesthesia, Southampton General Hospital.
During transcervical endometrial resection the uterine cavity is irrigated under pressure with 1.5% glycine solution. This solution may be absorbed, with consequent fluid and electrolyte shifts. Plasma sodium concentration was analysed in 21 women undergoing transcervical endometrial resection and decreased in every case. In five cases this decrease was > 10 mmol.l-1. Hyponatraemia is a potential risk with this procedure.
During transcervical endometrial resection the uterine cavity is irrigated under pressure with 1.5% glycine solution. This solution may be absorbed, with consequent fluid and electrolyte shifts. Plasma sodium concentration was analysed in 21 women undergoing transcervical endometrial resection and decreased in every case. In five cases this decrease was > 10 mmol.l-1. Hyponatraemia is a potential risk with this procedure.