Predictors of Infused Distending Fluid Volume in Hysteroscopic Myomectomy
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | Monopolar Group (n = 45) | Bipolar (n = 137) | p † | Power |
---|---|---|---|---|
Age (years) | 48.9 ± 7.6 | 44.0 ± 8.3 | 0.0002 | 0.956 |
Body mass index (kg/m2) | 20.1 ± 2.2 | 20.6 ± 3.2 | 0.54 | 0.216 |
Parity | 2.10 ± 1.30 | 1.46 ± 1.17 | 0.04 | 0.835 |
Hemoglobin (g/dL) | 8.8 ± 2.9 | 10.0 ± 2.1 | 0.09 | 0.727 |
Myoma diameter(cm) | 3.1 ± 1.3 | 3.4 ± 1.4 | 0.22 | 0.261 |
Myoma weight (g) | 23.0 ± 45.3 | 25.4 ± 28.4 | 0.11 | 0.063 |
Infused distending fluid (mL) | 2317 ± 2024 | 4310 ± 3761 | <0.0001 | 0.995 |
Collected distending fluid (mL) | 2124 ± 1920 | 4000 ± 3469 | <0.0001 | 0.995 |
Fluid deficit (mL) | 193 ± 289 | 310 ± 957 | 0.77 | 0.245 |
Blood loss (mL) | 58 ± 75 | 83 ± 125 | 0.12 | 0.366 |
Operative time (min) | 33.7 ± 15.6 | 39.5 ± 19.8 | 0.18 | 0.523 |
Inpatient treatment | 22 (49) | 95 (69) | 0.01 | 0.610 |
Length of stay (days) | 1.7 ± 0.8 | 2.0 ± 1.1 | 0.06 | 0.311 |
Perioperative complication | 0 (0) | 1 (1) | 0.57 | 0.002 |
Surgeon | ||||
A | 10 (22) | 11 (8) | 0.005 | - |
B | 18 (40) | 36 (26) | ||
C | 12 (27) | 55 (40) | ||
D | 5 (11) | 35 (26) |
Univariate | Multivariable | |||
---|---|---|---|---|
Variables | Coefficient (mL) | p † | Coefficient (mL) | p ‡ |
Age (years) | −97 (−157, −37) | 0.002 | - | - |
Body mass index (kg/m2) | −165 (−409, 78) | 0.18 | - | - |
Parity | −928 (−1558, −298) | 0.004 | - | - |
Hemoglobin (g/dL) | 90 (−204, 386) | 0.55 | - | - |
Myoma diameter (cm) | 726 (374, 1077) | <0.001 | 680 (334, 1025) | <0.001 |
Operative time (min) | 13.3 (−14.5, 41.1) | 0.35 | - | - |
Bipolar resectoscope | 1483 (381, 2585) | 0.009 | 1629 (507, 2752) | 0.005 |
Surgeon | ||||
A (reference) | - | - | - | - |
B | 82 (−1673, 1837) | 0.93 | - | - |
C | 1760 (54, 3466) | 0.04 | - | - |
D | 1373 (−465, 3212) | 0.14 | - | - |
Surgeon | Monopolar | Bipolar | p |
---|---|---|---|
A | 2630 ± 1496 | 3036 ± 1204 | 0.31 |
B | 2087 ± 2438 | 3344 ± 1372 | 0.0003 |
C | 2213 ± 1926 | 5125 ± 4408 | 0.007 |
D | 2770 ± 1949 | 4423 ± 4558 | 0.45 |
Case No | Author | Monopolar or Bipolar | Infused Fluid | Infused Fluid Amount (mL) | Fluid Deficit (mL) | Complication |
---|---|---|---|---|---|---|
1 | Jo et al. [10] | Monopolar | 5:1 sorbitol/mannitol | 2000 | - | Hyponatremia, pulmonary edema |
2 | Woo et al. [11] | Monopolar | 2.7% sorbitol/0.54% mannitol | 24,000 | - | Hyponatremia, pulmonary edema |
3 | Elegante et al. [12] | Monopolar | 1.5% Glycine | - | 2700 | Hyponatremia, cerebral edema, pulmonary edema |
4 | Liao et al. [13] | Monopolar | 5% dextrose water | 8000 | - | Cardiac arrest, pulmonary edema, hyponatemia |
5 | Grove et al. [14] | Bipolar | Lactated Ringer’s solution | 18,000 | 6000 | Pulmonary edema |
6 | Van Kruchten et al. [15] | Bipolar | Normal saline | - | - | Pulmonary edema |
7 | Wang et al. [16] | Bipolar | Normal saline | 19,100 | 11,900 | Pulmonary edema |
8 | Wang et al. [16] | Bipolar | Normal saline | 7500 | 4500 | Pulmonary edema |
9 | This study | Bipolar | Normal saline | 22,000 | - | Pulmonary edema |
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Chung, C.-H.; Tsai, C.-C.; Wang, H.-F.; Chen, H.-H.; Ting, W.-H.; Hsiao, S.-M. Predictors of Infused Distending Fluid Volume in Hysteroscopic Myomectomy. Medicina 2024, 60, 1424. https://doi.org/10.3390/medicina60091424
Chung C-H, Tsai C-C, Wang H-F, Chen H-H, Ting W-H, Hsiao S-M. Predictors of Infused Distending Fluid Volume in Hysteroscopic Myomectomy. Medicina. 2024; 60(9):1424. https://doi.org/10.3390/medicina60091424
Chicago/Turabian StyleChung, Chia-Han, Chien-Chen Tsai, Hsiao-Fen Wang, Hui-Hua Chen, Wan-Hua Ting, and Sheng-Mou Hsiao. 2024. "Predictors of Infused Distending Fluid Volume in Hysteroscopic Myomectomy" Medicina 60, no. 9: 1424. https://doi.org/10.3390/medicina60091424