Lin PC, Thyer A, Soules MR. Intraoperative ultrasound during a laparoscopic myomectomy.
Fertil Steril 2004;
81:1671-4. [PMID:
15193493 DOI:
10.1016/j.fertnstert.2003.10.049]
[Citation(s) in RCA: 23] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2003] [Revised: 10/31/2003] [Accepted: 10/31/2003] [Indexed: 11/16/2022]
Abstract
OBJECTIVE
To report a gynecologic use of a laparoscopic ultrasound transducer to isolate a myoma for surgical removal.
DESIGN
Case report.
SETTING
University-based infertility practice.
PATIENT(S)
A 44-year-old woman gravida 1 para 1 with history of a first trimester miscarriage who desired pregnancy as a participant in the donor egg program.
INTERVENTION(S)
Before she entered the assisted reproduction program, a patient was found to have a myoma that was greater than 2 cm with both intramural and submucosal components. During the laparoscopic evaluation, a laparoscopic ultrasound transducer helped identify and properly locate the myoma in what otherwise appeared to be a normal uterus. Appropriate laparoscopic hysterotomy incision was then made, thereby minimizing uterine trauma.
MAIN OUTCOME MEASURE(S)
Appropriately placed hysterotomy incision and successful reconstruction of uterus.
RESULT(S)
After the successful laparoscopic myomectomy, the patient achieved a pregnancy in our donor oocyte program.
CONCLUSION(S)
Laparoscopic intraoperative ultrasound can help gynecologic surgeons complete a laparoscopic myomectomy.
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