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Korean Journal of Anesthesiology 2009;57(1):117-122.
DOI: https://doi.org/10.4097/kjae.2009.57.1.117   
Pulmonary edema during hysteroscopic surgery: Three cases report.
Kyoung Ok Kim, Hong Il Shin, Jeoung Hyuk Lee, Younsuk Lee, Jun Gwon Choi, Dong Il Yoon
Department of Anesthesiology and Pain Medicine, Dongguk University Ilsan Hospital, Goyang, Korea. pissces@medimail.co.kr
Hysteroscopic surgery has become a routine gynecologic procedure. The advantages are associated with more accurate removal of lesion, its short operating time, rapid post-operative recovery and low morbidity. However, there are potentially serious complications which can be occured during and following hysteroscopic surgery. The complications are uterine perforation, fluid overload and electrolyte disturbance due to intravasation and absorption of uterine distention media, hemorrhage and, rarely, gas or air embolism. We experienced pulmonary edema during hysteroscopic surgery in three consecutive patients. Therefore, we report these cases of fluid overload with uterine distention media resulting acute pulmonary edema during hysteroscopic surgery.
Key Words: Hypoxemia; Hysteroscopic surgery; Pulmonary edema


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