Hi,
I am a medical student who recently has a lecture on electrolyte abnormalities and one of the abnormalities I read about was isoosmotic hyponatremia due to the use of an isotonic glycine or sorbitol irrigation solution for prostate or bladder surgery. So, I have been doing some searching online about why glycine and sorbitol are used rather than saline, and I came across something in the literaure alluding to the fact that a type of electocautery device called monopolar electrocautery was the norm previously and for some reason saline could not be used with this form of electrocautery. I was wondering if someone could elaborate on this. Is this only the case for bladder or prostate surgery or do other types of surgery require other irrigation fluids? Any information would be greatly appreciated. Thanks in advance,
I am a medical student who recently has a lecture on electrolyte abnormalities and one of the abnormalities I read about was isoosmotic hyponatremia due to the use of an isotonic glycine or sorbitol irrigation solution for prostate or bladder surgery. So, I have been doing some searching online about why glycine and sorbitol are used rather than saline, and I came across something in the literaure alluding to the fact that a type of electocautery device called monopolar electrocautery was the norm previously and for some reason saline could not be used with this form of electrocautery. I was wondering if someone could elaborate on this. Is this only the case for bladder or prostate surgery or do other types of surgery require other irrigation fluids? Any information would be greatly appreciated. Thanks in advance,
