Intraoperative transvaginal sonography: a novel approach for localization of deeper myomas during laparoscopic myomectomy

The aim of this study is to assess the use of intraoperative transvaginal ultrasonography (TVS) to locate deep myomas that were not identified on laparoscopic view. The design of this study is a prospective observational study. This study was conducted in private Advanced Endoscopy and Infertility T...

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Bibliographic Details
Published in:Gynecological surgery 2015-11, Vol.12 (4), p.303-308
Main Authors: Paul, P .G, Ahluwalia, Dimple K., Narasimhan, Dhivya, Chopade, Gaurav, Patil, Saurabh, Rengaraj, Varsha, Das, Tanuka
Format: Article
Language:English
Subjects:
Gynecology
Interventional Radiology
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Obstetrics/Perinatology/Midwifery
Reproductive Medicine
Surgical Oncology
Techniques and Instrumentation
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Summary:The aim of this study is to assess the use of intraoperative transvaginal ultrasonography (TVS) to locate deep myomas that were not identified on laparoscopic view. The design of this study is a prospective observational study. This study was conducted in private Advanced Endoscopy and Infertility Treatment Centre, Kerala, India. The study comprised of 84 patients who underwent laparoscopic myomectomy from January 2011 to December 2013 in whom intraoperative TVS was used as an intervention. The number of additional deeper myomas removed was calculated, and recurrence at 1 year was calculated. The total number of myomas enucleated was 390, and the additional myomas enucleated after intraoperative TVS were 94. The recurrence of myomas at 1-year follow-up was 7.1 %. Intraoperative TVS was helpful to the surgeon for identifying deeper myomas making the surgery more effective.
ISSN:1613-2076
1613-2084
DOI:10.1007/s10397-015-0912-6