<![CDATA[Objective: Hysteroscopy is the "gold-standard" procedure used
to describe the morphology of uterine cavity and the presence of intrauterine lesions and it is a minimally invasive intervention that
can be used to diagnose and treat many intrauterine and endocervical
problems. Hysteroscopy requires uterine distention for the effective
visualization of the uterine cavity and the clearing of blood
and tissue debris. Options for uterine distention include insufflation
with carbon dioxide (CO2) gas, and instillation with electrolytic and
nonelectrolytic liquid distention media. In this review, we would like to
review known available distending media and its characteristics for diagnostic and operative hysteroscopy.
Method: Literature review.
Conclusion: Carbon dioxide and normal saline are the most
preferable distention media for diagnostic hysteroscopy. There is no
significant difference between these medium in terms of visualization
quality, but most practitioners prefer to use normal saline because
of itâs availability and acceptability, quick performance,
fewer additional procedures, more satisfaction rate, and good visualization.
Low viscosity fluids are the most preferable media for operative
hysteroscopy. Low viscous-electrolytic fluids, mostly normal
saline is recommended in operative cases using mechanical, laser
or bipolar energy that requires no electricity. Nonelectrolytic
low-viscosity fluids are most preferable for extensive operative procedures using electrosurgery. Mannitol are chosen over glycine or
sorbitol when using monopolar electrosurgery.
[Indones J Obstet Gynecol 2010; 34-3: 150-4]
Keywords: hysteroscopy, distention media, diagnostic procedure,
operative procedure]]>
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