Intraoperative transvaginal ultrasound examination during myomectomy

Moro, Francesca; Bitonti, Giovanna; Mascilini, F.; Testa, Antonia Carla; Scambia, Giovanni

doi:10.1007/s40477-018-0310-9

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…Still others have suggested that the number of fibroids should not exceed three, while some scholars believe that there should be no restrictions on the number of fibroids. It has also been suggested that fibroids in the anterior wall are not suitable for transvaginal myomectomy [12][13][14][15]. We believe that whether transvaginal myomectomy is a suitable treatment option depends on the patient's conditions.…”

Section: Discussionmentioning

confidence: 95%

Clinical evaluation of transvaginal myomectomy surgery: a retrospective study of 138 cases

2019

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Objectives:The aim of this study was to evaluate the safety, feasibility, and effectiveness of transvaginal myomectomy surgery. Material and methods:We conducted a retrospective study in Shengjing Hospital of China Medical University. In all, 138 patients underwent transvaginal myomectomy from March 2009 to March 2019. The perioperative clinical data, such as position and size of myomas, operative duration, blood loss, intraoperative and postoperative complications, and hospitalization time were retrospectively analyzed.Results: All transvaginal myomectomies were performed without conversion to laparotomy. The mean vaginal operating time was 56.0 (± 17.2) minutes. The mean operative estimated blood loss was 89.2 (± 36.8) mL. No significant intraoperative complications occurred. The median time of intestinal function recovery after operation was 1 day (range 1-4 days). The median time of hospital stay was 4 days (range 3-10 days); 12 (8.7%) patients experienced postoperative morbidity. Conclusions:Transvaginal myomectomy is a minimally invasive surgery that can be performed without leaving a scar on the body surface. It can be performed safely and effectively by a skilled surgeon in cases with a specific surgical indication for this approach.

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Section: Discussionmentioning

confidence: 95%

Clinical evaluation of transvaginal myomectomy surgery: a retrospective study of 138 cases

2019

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“…Transvaginal ultrasound is currently not specifically addressed in the ACR appropriateness guidelines. As transvaginal ultrasound usage becomes more common for obstetric and gynecologic applications this may change [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Detection of distal ureteral stones in pregnancy using transvaginal ultrasound

et al. 2020

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Aims To determine the performance of transvaginal ultrasound for the visualization of distal ureteral stones in pregnant patients with renal colic and to evaluate the diagnostic value of secondary findings suggestive of obstructing ureteral stone disease. Methods We retrospectively identified 129 pregnant patients with a total of 142 encounters with both abdominal and transvaginal ultrasound. Ultrasound images for each patient were reviewed recording the presence of stone with location, hydronephrosis, resistive indices (RI), and status of the ureteral jets. Patients were subcategorized into two groups based on the visualization of distal ureteral stone. Results The transvaginal technique identified 94% (N = 16/17) of sonographically detected stones in the distal ureter/urethra, while the transabdominal technique identified 29% (N = 5/17). The combined imaging for initial assessment of renal colic in pregnancy demonstrated a sensitivity of 89%, specificity 100%, and negative predictive value (NPV) of 98%. The frequency of hydronephrosis was statistically greater in the visualized stone group (94% vs 51%). Mean RI was identical in both groups however the delta RI was significantly elevated in those patients with distal ureteral stones with a mean delta RI value of 0.05. The rate of absence of ureteral jets was not statistically significant. Conclusion The present data would suggest a utility of transvaginal ultrasound for the evaluation of the pregnant patient with 94% of distal stones being detected transvaginal versus 29% transabdominally. Additionally, there was significantly increased hydronephrosis and elevated RIs in patients with distal ureteral stones.

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