Intraoperative ultrasound during a laparoscopic myomectomy.
OBJECTIVE
To report a gynecologic use of a laparoscopic ultrasound transducer to isolate a myoma for surgical removal.


METHODS
Case report.


METHODS
University-based infertility practice.


METHODS
A 44-year-old woman gravida 1 para 1 with history of a first trimester miscarriage who desired pregnancy as a participant in the donor egg program.


METHODS
Before she entered the assisted reproduction program, a patient was found to have a myoma that was greater than 2 cm with both intramural and submucosal components. During the laparoscopic evaluation, a laparoscopic ultrasound transducer helped identify and properly locate the myoma in what otherwise appeared to be a normal uterus. Appropriate laparoscopic hysterotomy incision was then made, thereby minimizing uterine trauma.


METHODS
Appropriately placed hysterotomy incision and successful reconstruction of uterus.


RESULTS
After the successful laparoscopic myomectomy, the patient achieved a pregnancy in our donor oocyte program.


CONCLUSIONS
Laparoscopic intraoperative ultrasound can help gynecologic surgeons complete a laparoscopic myomectomy.
Lin
Paul C
PC
Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington 98195-7818, USA. linner@u.washington.edu
Thyer
Angela
A
Soules
Michael R
MR
D000328:Adult; D004867:Equipment Design; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D010535:Laparoscopy; D007889:Leiomyoma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D018587:Oocyte Donation; D011184:Postoperative Period; D011247:Pregnancy; D014463:Ultrasonography / Q000295:instrumentation; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*