Intraoperative transvaginal ultrasound to standardize bowel endometriosis shaving.
Details
Serval ID
serval:BIB_80C1DF80250F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Intraoperative transvaginal ultrasound to standardize bowel endometriosis shaving.
Journal
Fertility and sterility
ISSN
1556-5653 (Electronic)
ISSN-L
0015-0282
Publication state
Published
Issued date
11/2024
Peer-reviewed
Oui
Volume
122
Number
5
Pages
954-956
Language
english
Notes
Publication types: Video-Audio Media ; Journal Article ; Case Reports
Publication Status: ppublish
Publication Status: ppublish
Abstract
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.
Keywords
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
Yes
Create date
09/08/2024 14:03
Last modification date
19/11/2024 7:30