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Discuss uterine distention solutions used for high-frequency bipolar surgery and monopolar surgery. What is the rationale...

Discuss uterine distention solutions used for high-frequency bipolar surgery and monopolar surgery. What is the rationale for using nonelectrolytic versus electrolytic solutions in each case?

Science   Anatomy-And-Physiology   
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uterine distension solution used for high frequency bipolar surgery are saline solutions while uterine distension solution ised in monopolar surgery is glycine 1.5% sorbitol - mannitol (non electrolytic irrigation fluid)

monopolar surgery uses hypotonic solution and they will cause excessive absorption of fluid leading to hyponatremia, hypoosmolality but isotonic electrolyte-containing solutions cannot be used because this leads to activation of ions that disperse the electric current and reduce the power density. Hence the heat generated in tissues is insufficient to destroy or have a tissue effect

bipolar surgery uses electrolyte solutions like normal saline reduces the risk oh hyponatremia.here saline solution can be used as distension media because it has no risk of current dispersion.

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