Intraoperative Ultrasound during Fertility-Sparing Surgery: A Systematic Review and Practical Applications.

Abstract:

:Fertility-sparing surgery (FSS) is an established concept within operative gynaecology. Intraoperative ultrasound (IOUS) has the potential of assessing lesion margins, allowing complete resection with minimal damage to the surrounding healthy tissue and could potentially play a major role in FSS for benign or malignant gynaecological pathologies. In this paper, we review the current literature on the use of IOUS in gynaecological FSS. We also propose technical guidance on the IOUS during FSS. The findings of this review demonstrate that IOUS can assist in the safe resection of disease with high rates of completion, low rates of recurrence and without damage to the nearby healthy reproductive organs. Improved training in transvaginal ultrasonography and minimal access surgery are likely to facilitate the application of IOUS in FSS.

journal_name

Gynecol Obstet Invest

authors

Galazis N,Saso S,Sorbi F,Jones B,Landolfo C,Al-Memar M,Ben-Nagi J,Smith JR,Yazbek J

doi

10.1159/000505689

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

127-148

issue

2

eissn

0378-7346

issn

1423-002X

pii

000505689

journal_volume

85

pub_type

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