Acute Tissue Effects during Transcervical Endometrial Resection
作者:
Peter Holm-Nielsen,
Mogens H. Nyland,
Olav Istre,
Svend Maigaard,
Axel Forman,
期刊:
Gynecologic and Obstetric Investigation
(Karger Available online 1993)
卷期:
Volume 36,
issue 2
页码: 119-123
ISSN:0378-7346
年代: 1993
DOI:10.1159/000292608
出版商: S. Karger AG
关键词: Uterus;Electro surgery;Endometrium;resection;Temperature;Histology
数据来源: Karger
摘要:
The acute tissue effects of transcervical endometrial resection (TCRE) with a standard Iglesias resectoscope using glycine 1.5% for irrigation were studied in 8 women prior to hysterectomy. Combinations of 80 or 120 W cutting current with blend 1 or 2 were applied for endometrial resection, preceded by cornual endometrial coagulation with the roller ball electrode with a coagulation effect of 40 or 60 W. The temperature was measured at the uterine vessels, ovarian ligaments and serosal surface. The increase in temperature at the serosal surface was 2.0 °C during cornual coagulation and 0.3 °C during endometrial resection, independent of the current effect applied. The maximum depth of tissue damage was 1.7 mm. No change in temperature was found at the uterine vessels or ovarian ligaments. The tissue destruction and the increase in temperature of the uterine surface are minimal, and TCRE offers excellent histological material. Careful coagulation/resection in the cornual and isthmus regions is recommended.
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