From: BSGE/ESGE guideline on management of fluid distension media in operative hysteroscopy
Distension Media [Normal Plasma osmolality (285 mOsm/L)] | Procedure | Electrolyte free | Osmolality | Energy | Comments |
---|---|---|---|---|---|
Normal saline 285 mOsm/L Ringer’s lactate 279 mOsm/L | Diagnostic and Operative hysteroscopy Diagnostic and Operative hysteroscopy | No No | Iso-osmolar | Mechanical Bipolar Laser | Not recommended with monopolar energy as it disperses electric current without having any surgical effect on the tissue |
Glycine 1.5 % 200 mOsm/L | Operative Hysteroscopy | Yes | Hypo-osmolar | Monopolar | |
Dextrose 5 % | Operative Hysteroscopy | Yes | Hypo-osmolar | Monopolar | |
Sorbitol 3 % 165 mOsm/L | Operative Hysteroscopy | Yes | Hypo-osmolar | Monopolar | |
Mannitol 5 % 274 mOsm/L | Operative Hysteroscopy | Yes | Iso-osmolar | Monopolar |