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The higher the IUP is, the higher the risk of excessive fluid absorption.
Normal saline is an isotonic solution and therefore excessive fluid absorption is not associated with electrolyte disturbances.
Excessive fluid absorption is most likely with prolonged hysteroscopic procedures requiring continuous irrigation of fluid or where blood vessels within the myometrium are opened.
This medium reduces the risk of hypo-osmolarity and hyponatremia with excessive fluid absorption but does not eliminate the risk of congestive cardiac failure and pulmonary oedema.
The disadvantage of all these systems is that they keep the flow and the pressure at the inflow port constant and therefore if the pressure exceeds the mean arterial pressure it can lead to excessive fluid absorption.
Several prospective and retrospective studies have looked at the incidence of excessive fluid absorption and electrolyte disturbances during operative hysteroscopy and most report rates under 5%% [6, 7, 8, 9, 10, 11, 12].
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Surgeons should understand the factors that influence the severity and nature of complications arising from excessive systemic fluid absorption.
[GPP] Surgeons should understand the factors that influence the severity and nature of complications arising from excessive systemic fluid absorption.
The mechanisms leading to hydrocephalus include blockage of the aqueduct of Sylvius, excessive cerebrospinal fluid production, or inhibited cerebrospinal fluid absorption (Clarke and Meyer 2007).
It can have many causes: impaired cerebrospinal fluid flow, excess fluid production or impaired fluid absorption and can be congenital or acquired.
It is known to cause pulmonary edema, an accumulation of excessive fluid in the lungs.
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