Predictors of fluid intravasation during operative hysteroscopy: a preplanned prospective observational study with 200 cases

To verify the predictors of intravasation rate during hysteroscopy. Prospective observational study (Canadian Task Force classification II(-1)). All cases (n=200 women; 22 to 86 years old) were treated in an operating room setting. Considering respective bag overfill to calculate water balance, we t...

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Published in:Revista Brasileira de ginecologia e obstetrícia 2015-01, Vol.37 (1), p.24-29
Main Authors: Fonseca, Márlon de Freitas, Andrade Junior, Claudio Moura, Nogueira, Eduardo de Almeida, Sessa, Felipe Ventura, Crispi, Claudio Peixoto
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Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Female
Humans
Hysteroscopy - methods
Intraoperative Complications - etiology
Middle Aged
OBSTETRICS & GYNECOLOGY
Prospective Studies
Therapeutic Irrigation - adverse effects
Young Adult
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container_title Revista Brasileira de ginecologia e obstetrícia
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creator Fonseca, Márlon de Freitas
Andrade Junior, Claudio Moura
Nogueira, Eduardo de Almeida
Sessa, Felipe Ventura
Crispi, Claudio Peixoto
description To verify the predictors of intravasation rate during hysteroscopy. Prospective observational study (Canadian Task Force classification II(-1)). All cases (n=200 women; 22 to 86 years old) were treated in an operating room setting. Considering respective bag overfill to calculate water balance, we tested two multiple linear regression models: one for total intravasation (mL) and the other for absorption rate (mL.min(-1)). The predictors tested (independent variables) were energy (mono/bipolar), tube patency (with/without tubal ligation), hysterometry (cm), age ≤ 50 years, body surface area (m(2)), surgical complexity (with/without myomectomy) and duration (min). Mean intravasation was significantly higher when myomectomy was performed (442 ± 616 versus 223 ± 332 mL; p
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Prospective observational study (Canadian Task Force classification II(-1)). All cases (n=200 women; 22 to 86 years old) were treated in an operating room setting. Considering respective bag overfill to calculate water balance, we tested two multiple linear regression models: one for total intravasation (mL) and the other for absorption rate (mL.min(-1)). The predictors tested (independent variables) were energy (mono/bipolar), tube patency (with/without tubal ligation), hysterometry (cm), age ≤ 50 years, body surface area (m(2)), surgical complexity (with/without myomectomy) and duration (min). Mean intravasation was significantly higher when myomectomy was performed (442 ± 616 versus 223 ± 332 mL; p&lt;0.01). In the proposed multiple linear regression models for total intravasation (adjusted R(2)=0.44; p&lt;0.01), the only significant predictors were myomectomy and duration (p&lt;0.01).In the proposed model for intravasation rate (R(2)=0.39; p&lt;0.01), only myomectomy and hysterometry were significant predictors (p=0.02 and p&lt;0.01, respectively). 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In the proposed multiple linear regression models for total intravasation (adjusted R(2)=0.44; p&lt;0.01), the only significant predictors were myomectomy and duration (p&lt;0.01).In the proposed model for intravasation rate (R(2)=0.39; p&lt;0.01), only myomectomy and hysterometry were significant predictors (p=0.02 and p&lt;0.01, respectively). 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subjects Adult
Aged
Aged, 80 and over
Female
Humans
Hysteroscopy - methods
Intraoperative Complications - etiology
Middle Aged
OBSTETRICS & GYNECOLOGY
Prospective Studies
Therapeutic Irrigation - adverse effects
Young Adult
title Predictors of fluid intravasation during operative hysteroscopy: a preplanned prospective observational study with 200 cases
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