Skip to main content Accessibility help
  • Print publication year: 2016
  • Online publication date: June 2016

Chapter 33 - Absorption of irrigating fluid

from Section 4 - The clinical setting
1.Hahn, RG. Fluid absorption in endoscopic surgery (review). Br J Anaesth 2006; 96 : 820.
2.Hahn, RG, Ekengren, J. Patterns of irrigating fluid absorption during transurethral resection of the prostate as indicated by ethanol. J Urol 1993; 149 : 502–6.
3.Gehring, H, Nahm, W, Zimmermann, K, et al. Irrigating fluid absorption during percutaneous nephrolithotripsy. Acta Anaesthesiol Scand 1999; 43 : 316–21.
4.Hahn, RG. Smoking increases the risk of large-scale fluid absorption during transurethral prostatic resection. J Urol 2001; 166 : 162–5.
5.Istre, O. Transcervical resection of the endometrium and fibroids: the outcome of 412 operations performed over 5 years. Acta Obstet Gynecol Scand 1996; 75 : 567–74.
6.Olsson, J, Berglund, L, Hahn, RG. Irrigating fluid absorption from the intact uterus. Br J Obstet Gynaecol 1996; 103 : 558–61.
7.Olsson, J, Nilsson, A, Hahn, RG. Symptoms of the transurethral resection syndrome using glycine as the irrigant. J Urol 1995; 154 : 123–8.
8.Hahn, RG, Sandfeldt, L, Nyman, CR. Double-blind randomized study of symptoms associated with absorption of glycine 1.5% or mannitol 3% during transurethral resection of the prostate. J Urol 1998; 160 : 397401.
9.Olsson, J, Hahn, RG. Ethanol monitoring of irrigating fluid absorption in transcervical resection of the endometrium. Acta Anaesthesiol Scand 1995; 39 : 252–8.
10.Istre, O. Transcervical resection of the endometrium and fibroids: the outcome of 412 operations performed over 5 years. Acta Obstet Gynecol Scand 1996; 75 : 567–74.
11.Hahn, RG, Shemais, H, Essén, P. Glycine 1.0% versus glycine 1.5% as irrigating fluid during transurethral resection of the prostate. Br J Urol 1997; 79 : 394400.
12.Nilsson, A, Hahn, RG. Mental status after transurethral resection of the prostate. Eur Urol 1994: 26 : 15.
13.Tuzin-Fin, P, Guenard, Y, Maurette, P. Atypical signs of glycine absorption following transurethral resection of the prostate: two case reports. Eur J Anaesth 1997; 14 : 471–4.
14.Henderson, DJ, Middleton, RG. Coma from hyponatraemia following transurethral resection of the prostate. Urology 1980; 15: 267–71.
15.Hahn, RG. Transurethral resection syndrome from extravascular absorption of irrigating fluid. Scand J Urol Nephrol 1993; 27 : 387–94.
16.Radal, M, Jonville Bera, AP, Leisner, C, Haillot, O, Autret-Leca, E. Effets indésirables des solutions d'irrigation glycollées. Thérapie 1999; 54 : 233–6.
17.Fagerström, T, Nyman, CR, Hahn, RG. Complications and clinical outcome 18 months after bipolar and monopolar transurethral resection of the prostate. J Endourol 2011; 25 : 1043–9.
18.Hermanns, T, Fankhauser, CD, Hefermehl, LJ, et al. Prospective evaluation of irrigating fluid absorption during pure transurethral bipolar plasma vaporisation of the prostate using expired-breath ethanol measurements. BJU Int 2013; 112: 647–54.
19.Hermanns, T, Grossman, NC, Wettstein, MS, et al. Absorption of irrigating fluid occurs frequently during high power 532 nm laser vaporization of the prostate. J Urol 2015; 193: 211–16.
20.Ran, L, He, W, Zhu, Z, Zhou, Q, Gou, X. Comparison of fluid absorption between transurethral enucleation and transurethral resection for benign prostate hyperplasia. Urol Int 2013; 91 : 2630.
21.Hahn, RG. Early detection of the TUR syndrome by marking the irrigating fluid with 1% ethanol. Acta Anaesthesiol Scand 1989; 33 : 146–51.
22.Hahn, RG. Dose-dependent half-life of glycine. Urol Res 1993; 21 : 289–91.
23.Hoekstra, PT, Kahnoski, R, McCamish, MA, Bergen, W, Heetderks, DR. Transurethral prostatic resection syndrome – a new perspective: encephalopathy with associated hyperammonaemia. J Urol 1983; 130 : 704–7.
24.Hahn, RG, Sandfeldt, L. Blood ammonia levels after intravenous infusion of glycine with and without ethanol. Scand J Urol Nephrol 1999; 33 : 222–7.
25.Hahn, RG. Glycine 1.5% for irrigation should be abandoned. Urol Int 2013; 91 : 249–55.
26.Treparier, CA, Lessard, MR, Brochu, J, Turcotte, G. Another feature of TURP syndrome: hyperglycaemia and lactic acidosis caused by massive absorption of sorbitol. Br J Anaesth 2001; 87 : 316–19.
27.Hahn, RG, Drobin, D, Ståhle, L. Volume kinetics of Ringer´s solution in female volunteers. Br J Anaesth 1997; 78: 144–8.
28.Williams, EL, Hildebrand, KL, McCormick, SA, Bedel, MJ. The effect of intravenous lactated Ringer's solution versus 0.9% sodium chloride solution on serum osmolality in human volunteers. Anesth Analg 1999; 88 : 9991003.
29.Scheingraber, S, Rehm, M, Sehmisch, C, Finsterer, U. Rapid saline infusion produces hyperchloremic acidosis in patients undergoing gynecologic surgery. Anesthesiology 1999; 90 : 1265–70.
30.Yousef, AA, Suliman, GA. Elashry, OM, et al. A randomized comparison between three types of irrigating fluids during transurethral resection in benign prostatic hyperplasia. BMC Anesthesiol 2010; 10 : 7.
31.Hahn, RG, Gebäck, T. Fluid volume kinetics of dilutional hyponatremia; a shock syndrome revisited. Clinics 2014; 69 : 120–7.
32.Hahn, RG, Nennesmo, I, Rajs, J, et al. Morphological and X-ray microanalytical changes in mammalian tissue after overhydration with irrigating fluids. Eur Urol 1996; 29: 355–61.
33.Hahn, RG, Zhang, W, Rajs, J. Pathology of the heart after overhydration with glycine solution in the mouse. APMIS 1996; 104 : 915–20.
34.Hahn, RG, Olsson, J, Sótonyi, P, Rajs, J. Rupture of the myocardial histoskeleton and its relation to sudden death after infusion of glycine 1.5% in the mouse. APMIS 2000; 108 : 487–95.
35.Olsson, J, Hahn, RG. Survival after high-dose intravenous infusion of irrigating fluids in the mouse. Urology 1996; 47 : 689–92.
36.Hahn, RG, Stalberg, HP, Gustafsson, SA. Intravenous infusion of irrigating fluids containing glycine or mannitol with and without ethanol. J Urol 1989; 142 : 1102–5.
37.Olsson, J, Hahn, RG. Glycine toxicity after high-dose i.v. infusion of glycine 1.5% in the mouse. Br J Anaesth 1999; 82 : 250–4.
38.Hahn, RG. Ethanol monitoring of irrigating fluid absorption (review). Eur J Anaesth 1996; 13 : 102–15.
39.Piros, D, Fagerström, T, Collins, JW, Hahn, RG. Glucose as a marker of fluid absorption in bipolar transurethral surgery. Anesth Analg 2009; 109 : 1850–5.
40.Hahn, RG, Ekengren, J. Absorption of irrigating fluid and height of the fluid bag during transurethral resection of the prostate. Br J Urol 1993; 72 : 80–3.
41.Ekengren, J, Zhang, W, Hahn, RG. Effects of bladder capacity and height of fluid bag on the intravesical pressure during transurethral resection of the prostate. Eur Urol 1995; 27 : 2630.
42.Bernstein, GT, Loughlin, KR, Gittes, RF. The physiologic basis of the TUR syndrome. J Surg Res 1989; 46 : 135–41.
43.Ayus, JC, Krothapalli, RK, Arieff, AI. Treatment of symptomatic hyponatremia and its relation to brain damage. N Engl J Med 1987; 317 : 1190–5.
44.Ayus, JC, Arieff, AI. Glycine-induced hypo-osmolar hyponatremia. Arch Intern Med 1997; 157 : 223–6.
45.Hahn, RG. Total fluid balance during transurethral resection of the prostate. Int Urol Nephrol 1996; 28 : 665–71.
46.Crowley, K, Clarkson, K, Hannon, V, McShane, A, Kelly, DG. Diuretics after transurethral prostatectomy: a double-blind controlled trial comparing frusemide and mannitol. Br J Anaesth 1990; 65 : 337–41.
47.Olsson, J, Hahn, RG. Simulated intraperitoneal absorption of irrigating fluid. Acta Obstet Gynecol Scand 1995; 74 : 707–13.
48.Hahn, RG. Fluid absorption and the ethanol monitoring method. Acta Anaesthesiol Scand 2015; 59 : 1081–93.
49.Hahn, RG. Calculation of irrigant absorption by measurement of breath alcohol level during transurethral resection of the prostate. Br J Urol 1991; 68: 390–3.