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  • Artigos Originais

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

    Rev Bras Ginecol Obstet. 2015;37(1):24-29

    Summary

    Artigos Originais

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

    Rev Bras Ginecol Obstet. 2015;37(1):24-29

    DOI 10.1590/S0100-720320140005139

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    PURPOSE:

    To verify the predictors of intravasation rate during hysteroscopy.

    METHODS:

    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 (m2), surgical complexity (with/without myomectomy) and duration (min).

    RESULTS:

    Mean intravasation was significantly higher when myomectomy was performed (442±616 versus 223±332 mL; p<0.01). In the proposed multiple linear regression models for total intravasation (adjusted R2=0.44; p<0.01), the only significant predictors were myomectomy and duration (p<0.01).In the proposed model for intravasation rate (R2=0.39; p<0.01), only myomectomy and hysterometry were significant predictors (p=0.02 and p<0.01, respectively).

    CONCLUSIONS:

    Not only myomectomy but also hysterometry were significant predictors of intravasation rate during operative hysteroscopy.

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