Savi Scout Localization for Extrapelvic Endometriosis Resection

Area of Science:

• Gynecology
• Surgical Oncology
• Medical Devices

Background:

• Endometriosis is a prevalent condition causing chronic pelvic pain in women worldwide.
• Current treatments include NSAIDs, hormonal contraceptives, and surgical interventions like excision or ablation.
• Extrapelvic endometriomas pose unique surgical challenges due to variable palpability.

Observation:

• A 33-year-old woman reported 7 years of cyclical discomfort near her cesarean section scar.
• A 3x3 cm mass was intermittently palpable but visualized on imaging.
• The Savi Scout radar localization device was used pre-operatively due to the lesion's inconsistent palpability.

Findings:

• Pathologic examination confirmed the excised mass was endometrial tissue.
• The patient experienced symptom resolution post-surgery.
• The Savi Scout facilitated the accurate surgical resection of the non-palpable endometrioma.

Implications:

• The Savi Scout is a valuable tool for managing non-palpable or intermittently palpable extrapelvic endometriomas.
• This technique can improve surgical outcomes and patient symptom management.
• Novel applications of existing medical devices can address unmet clinical needs in gynecologic surgery.