Real-time intraoperative ultrasound guidance: the transrectal approach.
OBJECTIVE
To assess the role of real-time transrectal ultrasound guidance in complicated gynecologic procedures.


METHODS
In 1998-99, real-time guidance with transrectal ultrasound was utilized in our department to assist the gynecologic surgeon in two procedures: completing the evacuation of the uterine cavity after identification of uterine wall perforation during first trimester termination of pregnancy, and drainage of infected vaginal vault hematoma following hysterectomy.


RESULTS
The technique was applied for 11 patients, six abortions and five infected hematomas. All the procedures were completed without any further complications and the patients were discharged on the following day. Follow-up was uneventful.


CONCLUSIONS
On-line intraoperative transrectal ultrasound can effectively provide real-time assistance to the gynecologic surgeon during complicated pelvic procedures.
Bar-Hava
I
I
Department of Obstetrics and Gynecology, Rabin Medical Center, Petah Tiqva, Israel.
Rabinerson
D
D
Kaplan
B
B
Orvieto
R
R
Levy
T
T
Shalev
Y
Y
Ben-Rafael
Z
Z
Dekel
A
A
D000028:Abortion, Induced / Q000009:adverse effects*; D004322:Drainage; D005260:Female; D006406:Hematoma / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D011247:Pregnancy; D014463:Ultrasonography / Q000379:methods; D014592:Uterine Hemorrhage / Q000209:etiology* / Q000601:surgery; D014595:Uterine Perforation / Q000000981:diagnostic imaging* / Q000209:etiology