Question about use of irrigation fluids...

[CBG23]

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I posted this in the urology board, but it was dead...Hoping someone here could provide some insight...

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,

 

[Winged Scapula]

I posted this in the urology board, but it was dead...Hoping someone here could provide some insight...

Uhmmm...you posted in the middle of the day, waited all of 35 minutes and no one answered. Remember the people who post on these forums are busy residents, fellows and attendings who aren't sitting by the computer waiting for someone to post a reply.

Secondly, it is a Terms of Service (TOS) violation to cross-post the same thread.

Thirdly, "homework" questions are not allowed.

Therefore, this thread will be closed.

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,