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Puncture procedures utilizing transvaginal ultrasonic guidance
I E Timor-Tritsch1, D B Peisner, A Monteagudo
1Department of Obstetrics and Gynecology, Division of Ultrasound, Sloane Hospital for Women, Columbia Presbyterian Medical Center, New York City, New York 10032, USA.
Summary
Transvaginal sonography enables ultrasound-guided vaginal puncture procedures with a low complication rate. This minimally invasive technique avoids abdominal surgery and improves pregnancy outcomes, particularly in multifetal gestations.
Area of Science:
- Gynecologic surgery
- Reproductive medicine
- Medical imaging
Background:
- Transvaginal sonography is a valuable imaging tool.
- Ultrasound guidance enhances the precision of gynecologic procedures.
Purpose of the Study:
- To evaluate the efficacy and safety of transvaginal ultrasound-guided puncture procedures.
- To detail various applications of this minimally invasive technique.
Main Methods:
- Review of 102 transvaginal ultrasound-guided puncture procedures.
- Detailed description of fetal reductions, ectopic pregnancy punctures, pelvic drainage, ovarian cyst punctures, culdocenteses, and cervical pregnancy injections.
Main Results:
- A total of 102 procedures were performed with only one complication.
- Successful outcomes were achieved across diverse gynecologic indications.
- Ultrasound guidance allowed for real-time imaging and precise intervention.
Conclusions:
- Transvaginal ultrasound-guided puncture is a safe and effective minimally invasive approach.
- It offers advantages such as real-time imaging, low complication rates, and avoidance of abdominal surgery.
- This technique can lead to improved pregnancy outcomes, especially in cases of multifetal gestation reduction.