Intraoperative Transrectal Ultrasonography for Hysteroscopic Metroplasty: Feasibility and Safety

Journal of Minimally Invasive Gynecology
Valentina GhirardiSimone Ferrero

Abstract

The primary objective of this prospective comparative nonrandomized study was to assess the feasibility and safety of intraoperative transrectal ultrasonography (TRUS) during hysteroscopic metroplasty (HM). The secondary objective of the study was to assess whether TRUS facilitates complete removal of the uterine septum. Septate uterus was diagnosed by 3-dimensional transvaginal ultrasonography (3D-TVS) and confirmed by magnetic resonance imaging. In the control group (HM group; n = 18), patients underwent HM according to the traditional standard of operative hysteroscopy. In the study group (HM+TRUS group; n = 27), HM and TRUS were performed simultaneously; the hysteroscopic procedure was continued until a normal uterine fundus was observed. At 6 to 8 weeks after HM, 3D-TVS was performed to identify the numbers of complete resections (residual septum absent or <5 mm), suboptimal resections (residual septum 5-10 mm), and incomplete resections (residual septum > 10 mm). The 2 study groups did not differ significantly in terms of demographic and clinical characteristics, or in the volume of fluid infused and absorbed. There were no severe intraoperative or postoperative complication in either group; 2 patients in the HM+TRUS grou...Continue Reading

References

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Citations

Sep 1, 2015·Journal of Minimally Invasive Gynecology·Solène VigoureuxG Legendre
Jun 21, 2015·Journal of Minimally Invasive Gynecology·Mohamed ZayedAhmed T Hashem

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