Titre
Intraoperative transvaginal ultrasound to standardize bowel endometriosis shaving.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Alec, M.S.
Auteure/Auteur
Mathieu Vibert, J.J.
Auteure/Auteur
Grass, F.
Auteure/Auteur
Pluchino, N.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1556-5653
Statut éditorial
Publié
Date de publication
2024-11
Volume
122
Numéro
5
Première page
954
Dernière page/numéro d’article
956
Peer-reviewed
Oui
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.
PID Serval
serval:BIB_80C1DF80250F
PMID
Open Access
Oui
Date de création
2024-08-09T13:03:25.462Z
Date de création dans IRIS
2025-05-20T23:02:07Z
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Nom
39098537.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by/4.0
Taille
123.05 KB
Format
Adobe PDF
PID Serval
serval:BIB_80C1DF80250F.P001
URN
urn:nbn:ch:serval-BIB_80C1DF80250F3
Somme de contrôle
(MD5):3a3149aadc622b5d6883aa46df621713