Intraperitoneal ultrasound scan by culdotomy before laparoscopic ovarian resection: a novel approach

We describe a novel technique of intraperitoneal ultrasound scan by culdotomy before laparoscopic ovarian resection. To preserve the ovarian parenchyma in a recurrence of serous borderline ovarian tumor, a usual transvaginal ultrasound probe was introduced into the abdominal cavity, covered by a ste...

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Bibliographic Details
Published in:Minimally invasive therapy and allied technologies 2022-03, Vol.31 (3), p.479-482
Main Authors: Laganà, Antonio Simone, Garzon, Simone, Gisone, Baldo, Casarin, Jvan, Ghezzi, Fabio
Format: Article
Language:English
Subjects:
Colpotomy
Female
Humans
Laparoscopy
Ovarian Cysts - diagnostic imaging
Ovarian Cysts - surgery
Pregnancy
Ultrasonography
Vagina - surgery
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Summary:We describe a novel technique of intraperitoneal ultrasound scan by culdotomy before laparoscopic ovarian resection. To preserve the ovarian parenchyma in a recurrence of serous borderline ovarian tumor, a usual transvaginal ultrasound probe was introduced into the abdominal cavity, covered by a sterile bag, through posterior colpotomy. The pelvis was filled with saline solution and the ultrasound imaging was performed allowing the identification of tumor margins. After precise cystectomy, the tumor was delivered within the endo bag, through the posterior colpotomy. This new approach may be a feasible, effective and cheap technique to guide laparoscopic surgery for complex and/or small ovarian tumors.
ISSN:1364-5706
1365-2931
DOI:10.1080/13645706.2020.1815063