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Article
Transvaginal ultrasonographic assessment of Hyskon or lactated Ringer's solution instillation after laparoscopy: randomized, controlled study
Obstetrics and Gynecology Publications and Presentations
  • C. K. Sites, University of Vermont
  • B. A. Jensen, University of Vermont
  • J. L. Glock, University of Vermont
  • J. A. Blackman, University of Vermont
  • Gary J. Badger, University of Vermont
  • Julia V. Johnson, University of Massachusetts Medical School
  • J. R. Brumsted, University of Vermont
UMMS Affiliation
Department of Obstetrics and Gynecology
Date
3-1-1997
Document Type
Article
Medical Subject Headings
Dextrans; Female; Humans; Instillation, Drug; Isotonic Solutions; Laparoscopy; Peritoneal Cavity; Postoperative Complications; Time Factors; Tissue Adhesions; Vagina
Abstract

We sought to evaluate two common fluids placed in the pelvis after pelvic surgery for their ability to remain in the pelvis for a time thought adequate for prevention of adhesions. Thirteen patients undergoing operative laparoscopy were randomized to receive 250 ml 32% dextran 70 (Hyskon), 250 ml lactated Ringer's solution, or no fluid (control) at the end of surgery. Serial transvaginal ultrasonograms were obtained at 1 hr, 3 hr, 6 hr, 24 hr, 96 hr (4 days), and 168 hr (7 days) after surgery. Patients were asked about side effects of fluid instillation. The volume of lactated Ringer's solution declined rapidly after instillation, with no significant difference from control at 24 hr (12 ml versus 7 ml). The volume of Hyskon did not decline rapidly by 24 hr and remained higher than the volume in controls or those receiving lactated Ringer's solution (188 ml, P = 0.003). Although the volume of Hyskon remained higher than that of lactated Ringer's solution or fluid volume in control patients by days 4 and 7, this difference did not reach statistical significance (45 ml versus 7 ml and 14 ml respectively, P = 0.39, on day 4). Patients in all groups noted abdominal pain. One patient who received Hyskon developed severe vulvar edema and another developed dyspnea. We conclude that the volume of Hyskon in the peritoneal cavity after laparoscopy does not decline as rapidly as does that of lactated Ringer's solution; however, significant side effects may limit its usefulness. Transvaginal ultrasonography is useful in monitoring fluids placed in the pelvis for prevention of adhesions.

Comments

Citation: J Ultrasound Med. 1997 Mar;16(3):195-9.

At the time of publication, Julia Johnson was not yet affiliated with the University of Massachusetts Medical School.

Related Resources
Link to Article in PubMed
PubMed ID
9166816
Citation Information
C. K. Sites, B. A. Jensen, J. L. Glock, J. A. Blackman, et al.. "Transvaginal ultrasonographic assessment of Hyskon or lactated Ringer's solution instillation after laparoscopy: randomized, controlled study" Vol. 16 Iss. 3 (1997) ISSN: 0278-4297 (Linking)
Available at: http://works.bepress.com/julia_johnson/6/