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Enhancing precision in hysteroscopic surgery: The role of intraoperative ultrasound

2024Journal article Open access
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dc.contributor.authorFerreira de Castro, L
dc.contributor.authorSantos, I
dc.contributor.authorLaganà, AS
dc.contributor.authorde Vree, B
dc.contributor.authorvan Herendael, BJ
dc.contributor.authorDjokovic, D
dc.date.accessioned2025-01-05T21:54:34Z
dc.date.available2025-01-05T21:54:34Z
dc.date.issued2024
dc.description.abstractHysteroscopy stands as the gold-standard approach for managing intrauterine pathology. However, in complex clinical cases, hysteroscopic evaluation alone may prove insufficient for the safest and successful patient management. Intraoperative ultrasound (IOUS) has emerged as a valuable adjunct to hysteroscopic surgery, offering real-time visualization of endometrial cavity, uterine walls and instruments within the uterine cavity, enabling precise delineation of anatomical structures, and helping to assess the extent of pathology during intricate interventions. This review aims to comprehensively assess the applications, efficacy and utility of IOUS in hysteroscopic surgery. Available evidence indicates that in hysteroscopic myomectomy, IOUS significantly reduces the risk of uterine perforation, particularly in submucosal FIGO 2 myomas, and enhances the likelihood of a single-step procedure. During hysteroscopic metroplasty, ultrasound guidance decreases the chance of incomplete uterine septum resection. In the hysteroscopic management of severe Asherman syndrome, IOUS reduces the risk of uterine perforation or false passage. For cesarean scar pregnancy (CSP), ultrasound is crucial in defining the most appropriate surgical approach and is effective in guiding the hysteroscopic treatment of endogenic CSP. The use of IOUS in hysteroscopy proves valuable in complex cases where the risk of uterine perforation or incomplete procedure is increased.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEur J Obstet Gynecol Reprod Biol . 2024 Nov:302:306-309.pt_PT
dc.identifier.doi10.1016/j.ejogrb.2024.09.027pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/53442
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectHisteroscopiapt_PT
dc.subjectUltrassonografiapt_PT
dc.subjectHysteroscopypt_PT
dc.subjectUltrasonographypt_PT
dc.titleEnhancing precision in hysteroscopic surgery: The role of intraoperative ultrasoundpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage309pt_PT
oaire.citation.startPage306pt_PT
oaire.citation.titleEuropean Journal of Obstetrics & Gynecology and Reproductive Biologypt_PT
oaire.citation.volume302pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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