Wm. Ankum et J. Vonk, THE SPRING BALANCE - A SIMPLE MONITORING-SYSTEM FOR FLUID OVERLOAD DURING HYSTEROSCOPIC SURGERY, Lancet, 343(8901), 1994, pp. 836-837
Fluid overload may arise during hysteroscopic surgery, caused by absor
ption of fluid used to distend the uterus. continuous monitoring of th
e fluid balance is required to prevent this serious complication. Comm
ercial equipment does not serve this purpose adequately. We describe a
simple solution. We weigh the inflow and outflow volumes together on
a spring balance; this method provides information about fluid balance
, since any fluid lost as spillage or by absorption is reflected by a
loss of weight on the balance. The method is simple, accurate, and ine
xpensive, and the components can be purchased readily.