Abstract
While conducting a Holmium Laser Excision of Prostate (HoLEP), it is a standard practice to use normal saline as an irrigation solution. Usually, the amount of saline absorbed systemically during HoLEP ranges between 200 and 900 mL. However, rarely this amount can become excessive and lead to toxicity. Currently, two methods are used to measure the quantity of normal saline absorbed during a HoLEP – a volumetric fluid balance method and ethanol tagging of saline. These methods, however, have certain limitations. They can possibly be supplemented by a third method – a real time “parotid area sign.” This case report highlights the significance of this clinical sign in a 67-year-old male, who while undergoing HoLEP, developed frank signs of toxicity due to massive saline absorption.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
