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Real‐time intraoperative ultrasound guidance: the transrectal approach
Author(s) -
BarHava I.,
Rabinerson D.,
Kaplan B.,
Orvieto R.,
Levy T.,
Shalev Y.,
BenRafael Z.,
Dekel A.
Publication year - 2001
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.2001.00258.x
Subject(s) - medicine , ultrasound , perforation , surgery , hysterectomy , obstetrics and gynaecology , uterine perforation , uterine cavity , pregnancy , radiology , family planning , uterus , research methodology , population , materials science , genetics , environmental health , biology , metallurgy , punching
Objective To assess the role of real‐time transrectal ultrasound guidance in complicated gynecologic procedures. Design In 1998–99, real‐time guidance with transrectal ultrasound was utilized in our department to assist the gynecologic surgeon in two procedures: completing the evacuation of the uterine cavity after identification of uterine wall perforation during first trimester termination of pregnancy, and drainage of infected vaginal vault hematoma following hysterectomy. Results The technique was applied for 11 patients, six abortions and five infected hematomas. All the procedures were completed without any further complications and the patients were discharged on the following day. Follow‐up was uneventful. Conclusions On‐line intraoperative transrectal ultrasound can effectively provide real‐time assistance to the gynecologic surgeon during complicated pelvic procedures. Copyright © 2001 International Society of Ultrasound in Obstetrics and Gynecology