Ga. Vilos et al., Genital tract electrical burns during hysteroscopic endometrial ablation: Report of 13 cases in the United States and Canada, J AM AS G L, 7(1), 2000, pp. 141-147
Citations number
14
Categorie Soggetti
Reproductive Medicine
Journal title
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS
We investigated 13 alleged thermal injuries to the genital tract of women u
ndergoing hysteroscopic endometrial ablation. Possible mechanisms proposed
to explain these injuries are hot-weighted speculum, povidone-iodine scrub
solution, inadequate rinsing of Cider sterilizing solution, and electrical
burns. The history, nature, and distribution, as well as experimental evide
nce strongly support the hypothesis that these injuries are electrical due
to capacitive coupled currents induced onto the sheath of the resectoscope,
and/or stray currents generated by arcing or direct coupling from defectiv
e electrode insulation to the telescope, electrifying the entire resectosco
pe.