Intraoperative transvaginal ultrasound to standardize bowel endometriosis shaving.
Détails
Télécharger: 39098537.pdf (123.05 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_80C1DF80250F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Intraoperative transvaginal ultrasound to standardize bowel endometriosis shaving.
Périodique
Fertility and sterility
ISSN
1556-5653 (Electronic)
ISSN-L
0015-0282
Statut éditorial
Publié
Date de publication
11/2024
Peer-reviewed
Oui
Volume
122
Numéro
5
Pages
954-956
Langue
anglais
Notes
Publication types: Video-Audio Media ; Journal Article ; Case Reports
Publication Status: ppublish
Publication Status: ppublish
Résumé
To study the use of intraoperative transvaginal ultrasound after bowel endometriosis shaving.
Stepwise demonstration with a narrated video footage of preoperative and intraoperative ultrasound to evaluate the extent of an endometriotic rectal nodule.
Lausanne University Hospital and Geneva University Hospital.
Two women with symptomatic endometriosis rectal lesion.
Preoperative transvaginal ultrasound was performed to measure the rectal nodule. After completing bowel shaving, the surgeon conducted both clinical and sonographic evaluations of the rectal wall. Clinically, this was performed using laparoscopic grasping forceps and sonographically with a transvaginal probe after filling the pelvis with saline solution.
Assessment of the rectal wall for residual disease after bowel shaving and evaluation of the necessity for additional bowel resection.
After sonographic evaluation of the rectal wall, the surgeon decided in both patients to perform a discoid resection because of the presence of a residual rectal disease despite thorough bowel shaving.
Intraoperative transvaginal ultrasound after bowel endometriosis shaving is a promising technique that is safe, reproducible, and efficient. It aids surgeons in accurately assessing the extent of excision of deep rectosigmoid infiltrating endometriosis and determining the necessity of additional bowel resection to reduce recurrence risk. Moreover, intraoperative ultrasound provides precise measurements of residual nodules, enabling differentiation between persistent, recurrent, or new lesions during follow-up.
Stepwise demonstration with a narrated video footage of preoperative and intraoperative ultrasound to evaluate the extent of an endometriotic rectal nodule.
Lausanne University Hospital and Geneva University Hospital.
Two women with symptomatic endometriosis rectal lesion.
Preoperative transvaginal ultrasound was performed to measure the rectal nodule. After completing bowel shaving, the surgeon conducted both clinical and sonographic evaluations of the rectal wall. Clinically, this was performed using laparoscopic grasping forceps and sonographically with a transvaginal probe after filling the pelvis with saline solution.
Assessment of the rectal wall for residual disease after bowel shaving and evaluation of the necessity for additional bowel resection.
After sonographic evaluation of the rectal wall, the surgeon decided in both patients to perform a discoid resection because of the presence of a residual rectal disease despite thorough bowel shaving.
Intraoperative transvaginal ultrasound after bowel endometriosis shaving is a promising technique that is safe, reproducible, and efficient. It aids surgeons in accurately assessing the extent of excision of deep rectosigmoid infiltrating endometriosis and determining the necessity of additional bowel resection to reduce recurrence risk. Moreover, intraoperative ultrasound provides precise measurements of residual nodules, enabling differentiation between persistent, recurrent, or new lesions during follow-up.
Mots-clé
Humans, Female, Endometriosis/surgery, Endometriosis/diagnostic imaging, Adult, Rectal Diseases/surgery, Rectal Diseases/diagnostic imaging, Vagina/surgery, Vagina/diagnostic imaging, Ultrasonography/methods, Intraoperative Care/methods, Treatment Outcome, Rectum, bowel shaving, discoid resection, endometriosis, intraoperative ultrasound
Pubmed
Open Access
Oui
Création de la notice
09/08/2024 14:03
Dernière modification de la notice
19/11/2024 7:30