Ultrasound-Guided Laparoscopic Ovarian Wedge Resection in Recurrent Serous Borderline Ovarian Tumours

Abstract

Continuous intraoperative ultrasound can be used to facilitate complete tumor excision in recurrent sBOT while minimizing the removal of ovarian tissue in women with recurrent sBOT. It is essential that surgical techniques evolve simultaneously with diagnostic imaging modalities to enable surgeons to treat such pathology.

Intraoperative ultrasound through laparoscopic probe in fertility‐sparing surgery for borderline ovarian tumor recurrence

“…Previous research has demonstrated that intraoperative ultrasound, using a transvaginal probe, represents a valid tool to facilitate complete tumor excision in recurrent borderline tumors and to detect location and extent of metastatic disease in gynecological cancer patients. In the present case, real‐time laparoscopic ultrasound imaging was effective in evaluation of the ovary for incision placement.…”

The Use of intra-operative Ultrasound in Gynecological Surgery: a Review

“…Jones et al explored the use of IOUS in the removal of recurrent serous borderline ovarian tumors that are too small to be visualized laparoscopically [54,55]. The group proposed the use of IOUS to facilitate laparoscopic ovarian wedge resection which minimizes the amount of healthy ovarian tissue being excised, reducing the likelihood of premature ovarian insufficiency post-operatively.…”

“…The group proposed the use of IOUS to facilitate laparoscopic ovarian wedge resection which minimizes the amount of healthy ovarian tissue being excised, reducing the likelihood of premature ovarian insufficiency post-operatively. The increased accuracy associated with the use of IOUS reduces the risk of intra-operative cyst rupture, which is associated with increased recurrence risk [55]. The use of continuous intraoperative trans-vaginal US (TVS) was piloted in one patient who was disease free at 18 months with an anti-Mullerian hormone concentration of 9.3 pmol/l [54].…”

Anaesthetic considerations for fertility‐sparing surgery and uterine transplantation

“…Jones et al. described a novel fertility‐sparing surgery technique of intra‐operative ultrasound‐guided ovarian wedge resection to treat recurrent serous borderline ovarian tumours [29]. This is an example of a diagnostic modality enhancing the therapeutic accuracy through laparoscopic resection of small ovarian lesions, too small to be seen by the naked eye.…”

“…The method allows for optimal tissue preservation, while also maximising chances of curative treatment. A seven patient series followed‐up for 12 months reported no evidence of disease recurrence in 86% of women and one pregnancy which unfortunately resulted in a miscarriage [29].…”