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Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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Updated: Oct 19, 2025

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
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Resectoscopic Surgery Part II: Introducing Ultrasound Guidance for Intermediate-Level Surgical Procedures.

Morris Wortman1

  • 1Clinical Associate Professor of Gynecology, Center for Menstrual Disorders, University of Rochester Medical Center, Rochester, New York.

Surgical Technology International
|September 22, 2021
PubMed
Summary
This summary is machine-generated.

This study details advanced resectoscopic surgery techniques for complex gynecologic cases. It covers procedures beyond global endometrial ablation (GEA) and hysteroscopic morcellators (HMs), including ultrasound guidance.

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Area of Science:

  • Minimally Invasive Gynecologic Surgery
  • Hysteroscopy
  • Surgical Technology

Background:

  • Resectoscopic surgery offers significant patient and surgeon advantages.
  • Basic resectoscopic procedures are increasingly replaced by global endometrial ablation (GEA) and hysteroscopic morcellators (HMs).
  • Limitations of GEA and HMs become apparent in complex gynecologic cases.

Purpose of the Study:

  • To examine intermediate-level resectoscopic procedures not manageable with GEA or HMs.
  • To describe the resection of complex uterine pathologies and management of cervical stenosis.
  • To highlight the role of ultrasound guidance in advanced hysteroscopic surgery.

Main Methods:

  • Review of intermediate-level resectoscopic procedures.
  • Description of techniques for leiomyomas, polyps, uterine septae, and cervical stenosis.
  • Integration of ultrasound guidance into surgical practice.

Main Results:

  • Successful management of complex cases using advanced resectoscopic techniques.
  • Demonstration of endomyometrial resection (EMR) for challenging pathologies.
  • Effective application of ultrasound guidance for enhanced surgical safety and precision.

Conclusions:

  • Resectoscopic surgery remains crucial for complex gynecologic procedures beyond the scope of GEA and HMs.
  • Intermediate-level resectoscopic techniques enable comprehensive management of uterine pathologies.
  • Ultrasound guidance is a valuable tool for minimally invasive gynecologic surgeons performing advanced hysteroscopic procedures.