Related Experiment Videos
Operative ultrasonography for upper genital tract pathology
S R Lindheim1, M Cohen, M V Sauer
1Department of Obstetrics and Gynecology, Columbia Presbyterian Medical Center, College of Physicians & Surgeons, Columbia University, New York, New York 10032, USA.
Journal of Assisted Reproduction and Genetics
|November 21, 1998
Summary
Operative transvaginal sonohysterography (SHG) allows for intrauterine biopsies and resections. This minimally invasive procedure offers a potentially cost-effective alternative for diagnosing and treating uterine conditions.
Area of Science:
- Gynecologic surgery
- Minimally invasive procedures
- Diagnostic imaging
Background:
- Intrauterine pathology can be challenging to diagnose and treat.
- Traditional methods like Pipelle sampling may miss certain lesions.
- Transvaginal sonohysterography (SHG) is an established imaging technique.
Purpose of the Study:
- To describe a novel operative transvaginal sonohysterography (SHG) procedure.
- To evaluate the feasibility of performing intrauterine biopsies and resections using operative SHG.
- To assess operative SHG as a diagnostic and therapeutic tool for intrauterine pathology.
Main Methods:
- Seven women with intrauterine pathology underwent attempted operative SHG.
- Procedures involved specialized catheters for cervical and uterine access.
- Ultrasound guidance was used for biopsies and resections with graspers.
- Office hysteroscopy confirmed resection adequacy.
Main Results:
- Three of six patients had adequate resection or biopsy.
- One patient had successful directed biopsy of the fundal cavity.
- Two patients were precluded by severe cervical stenosis.
- Procedures were well-tolerated, averaging 25 minutes without complications.
Conclusions:
- Operative SHG enables resection and biopsy of intrauterine pathology often missed by other methods.
- It presents a potential cost-effective alternative to hysteroscopy.
- Further research aims to refine instruments for larger lesion removal.