Puncture procedures utilizing transvaginal ultrasonic guidance.
The introduction of transvaginal sonography has enabled the use of this scanning method for guided puncture procedures. A total of 102 puncture procedures are described: 63 fetal reductions, eight punctures of ectopic pregnancies, 19 drainages of pelvic contents, seven punctures of ovarian cysts, four diagnostic culdocenteses and one injection of a cervical pregnancy. Every procedure is discussed in detail. There was only one procedure-related complication. The advantages of the ultrasound-guided vaginal puncture procedure are its performance under real-time imaging, a low complication rate, a better pregnancy outcome when considering the reduction of multifetal gestations, and, most importantly, the fact that abdominal surgery can be avoided in several cases.
Timor-Tritsch
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Department of Obstetrics and Gynecology, Division of Ultrasound, Sloane Hospital for Women, Columbia Presbyterian Medical Center, New York City, New York 10032, USA.
Peisner
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Monteagudo
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