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Endoscopic ultrasound. A new instrument for laparoscopic surgery
B S Hurst1, K E Tucker, C A Awoniyi
1Department of Obstetrics and Gynecology, University of Colorado Health Sciences Center, Denver 80262, USA.
Objective:
Although laparoscopy is an important tool for evaluating pelvic pathology, visualization is limited to the surface of structures. A method of seeing below the surface during laparoscopy could be useful. We report on our early experience with new laparoscopic ultrasound.
Study Design:
Following diagnostic laparoscopy the pelvis is filled with fluid to obtain optimal imaging. A 10-mm ultrasound probe is introduced through the umbilical trocar and the uterus and adnexa examined.
Results:
High-resolution images can be obtained to delineate such abnormalities as suspected ovarian cysts and uterine myomata.
Conclusion:
Endoscopic ultrasound is a new instrument that allows the surgeon to evaluate and define pelvic pathology suspected at the time of laparoscopy. Endoscopic ultrasound may augment the diagnosis of subtle pathologic findings during laparoscopy.