Gynecologic Surgery: Preoperative Assessment With Ultrasound.

Area of Science:

• Gynecologic imaging and procedures
• Minimally invasive gynecologic surgery

Background:

• Ultrasonography, particularly 3D ultrasound, plays a crucial role in diagnosing and evaluating gynecologic conditions.
• It is vital for surgical planning and patient counseling in gynecologic procedures.

Purpose of the Study:

• To highlight the essential role of 3D ultrasonography in gynecologic surgery.
• To demonstrate its utility in various hysteroscopic procedures and fibroid mapping.
• To emphasize its potential to reduce surgical complications and the need for laparoscopy.

Main Methods:

• Utilizing 3D ultrasound for diagnosis and preoperative evaluation.
• Employing 3D ultrasound in specific hysteroscopic procedures like Asherman syndrome, vaginal septum resection, and hematometria treatment.
• Using 3D ultrasound for intraoperative visualization and fibroid mapping.

Main Results:

• 3D ultrasound enables simultaneous visualization of the endometrium and myometrium in the coronal view, crucial for fibroid mapping.
• It provides a cost-effective alternative to MRI for fibroid assessment.
• Intraoperative ultrasound visualization can potentially decrease complications and obviate the need for laparoscopy.

Conclusions:

• 3D ultrasonography is indispensable for accurate diagnosis, surgical planning, and patient management in gynecology.
• Its application in hysteroscopy and fibroid mapping offers significant advantages.
• Intraoperative ultrasound guidance holds promise for improving surgical outcomes and reducing invasiveness.