Laparoscopic surgical management of ovarian cysts assisted by simultaneous transvaginal ultrasonography.
OBJECTIVE
To assess the use of transvaginal ultrasound guidance during operative laparoscopy.


METHODS
Five of 98 consecutive cases of operative laparoscopy for benign-appearing ovarian cysts were complicated by extensive intrapelvic adhesions and a distorted anatomy. Following prolonged dissection, simultaneous transvaginal ultrasonography was used in these cases.


RESULTS
In all cases we were able to ultrasonographically image and locate the ovarian cyst during the laparoscopic procedure. In four cases this was a significant aid in expediting the procedure and avoiding damage to adjacent pelvic structures. In one case, identification of the ovarian cyst facilitated the decision to resort to laparotomy.


CONCLUSIONS
In selected cases, laparoscopic surgeons should be aware of the feasibility and possible benefits of the use of simultaneous intraoperative transvaginal ultrasonography.
Lipitz
S
S
Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Seidman
D S
DS
Achiron
R
R
Goldenberg
M
M
Bider
D
D
Mashiach
S
S
D000291:Adnexal Diseases / Q000209:etiology; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods* / Q000592:standards; D008875:Middle Aged; D010048:Ovarian Cysts / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D010053:Ovary / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D000267:Tissue Adhesions; D014463:Ultrasonography