Which solution is commonly used to distend the uterus during a hysteroscopy?

The commonly used solution for distending the uterus during a hysteroscopy is Hyskon, which is an isotonic solution that contains dextran. It helps to maintain a clear view of the uterine cavity by creating space, allowing for effective visualization and operation within the uterus. Hyskon also offers advantages such as better visibility compared to some other solutions and a lower risk of absorption-related complications, which is crucial during surgical procedures.

Sterile saline is often utilized in various surgical procedures, but it does not provide the same clarity and stability in maintaining uterine distension as Hyskon. Distilled water is not appropriate due to the risk of hemolysis and electrolyte imbalance. Ringer’s lactate is primarily used for fluid resuscitation and does not maintain the appropriate environment for hysteroscopy.

Choosing Hyskon for uterine distention aligns with the need for a solution that safely facilitates the procedure while minimizing complications and maximizing visualization, ensuring optimal outcomes for the patient and the surgical team.