Efficacy of glycine versus distilled water to reduce hydroelectrolyte disorders in patients undergoing transurethral resection

Abstract

The objective of the research is to systematize the evidence on the effectiveness of glycine versus distilled water to reduce hydroelectrolyte disorders in patients undergoing transurethral resection (TUR). 10 scientific articles were reviewed, including controlled, randomized, cohort, case-control, and experimental trials. 50% evidence was found that irrigated patients present hyponatremia, being less with distilled water, 10% evidence that the use of distilled water reduces perioperative hypothermia and tremors, 10% demonstrates in a comparison of the absorption of irrigation fluids (saline solution ) used during rtu, is a non-significant percentage. 10% conclude that glycine solution increases the transparency of the optics, compared to distilled water, 10% demonstrate that irrigation with water in preventing the recurrence of non-muscle invasive bladder cancer is as effective as mitomycin, 10 % conclude that distilled water is an effective solution as an irrigant in procedures such as percutaneous nephrolithotomy. Concluding that both distilled water and glycine produce hydroelectrolyte disorders when used as irrigant in rtu, where the differences are not statistically significant.

El objetivo de la investigacion es sistematizar las evidencias sobre la eficacia de la glicina versus agua destilada para disminuir trastornos hidroelectroliticos en pacientes sometidos a reseccion transuretral(rtu). Se revisaron 10 articulos cientificos entre ensayos controlados, aleatorizados, cohorte, casos y controles, experimental. Se encontraron 50% evidencian que los pacientes irrigados presentan hiponatremia, siendo menor con agua destilada, 10% evidencia que el uso de agua destilada disminuye la hipotermia perioperatoria y temblores, 10% demuestra en una comparación de la absorcion de liquidos de riego(solucion salina) usadas durante la rtu, es un porcentaje no significativo. 10% concluye que la glicina solucion aumenta la transparencia de la opticas, en comparacion con el agua destilada, 10% demuestra que el riego con agua en la prevencion de la recurrencia de cancer de vejiga invasivo no muscular es tan efectiva como la mitomicina, 10% concluyen que le agua destilada es una solucion efectiva como irrigante en procedimientos a fines como la nefrolitotomia percutanea. Concluyendo que tanto el agua destilada como glicina producen trastornos hidroelectroliticos cuando son usadas como irrigante en las rtu, donce las diferencias no son estadisticamente significativas.