title: Intraoperative ultrasound during a laparoscopic myomectomy.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington 98195-7818, USA. linner@u.washington.edu
authors.forename: Paul C
authors.initials: PC
authors.lastname: Lin
authors.forename: Angela
authors.initials: A
authors.lastname: Thyer
authors.forename: Michael R
authors.initials: MR
authors.lastname: Soules
mesh_terms: 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*