Caroline Leps, Meghan McGrattan, Lacey Brennan, M Jonathon Solnik
LUS using a 5-10 MHz transducer delivered real-time, high-resolution imaging directly on uterine tissue, eliminating acoustic artifacts and overcoming reduced tactile feedback in minimally invasive surgery. As demonstrated in prospective literature, LUS detects a median of two additional fibroids per patient-predominantly FIGO Types 2 and 3-compared to preoperative imaging.
OBJECTIVES: To demonstrate the use and setup of a laparoscopic ultrasound (LUS), and show its application during a myomectomy.
DESIGN: A surgical case and accompanying literature are reviewed to demonstrate the features of the LUS, the set-up of the LUS, and its use during a myomectomy.
SUBJECTS: The patient included in this video gave consent for publication of the video and posting of the video online including social media, the journal website, scientific literature websites (such as PubMed, ScienceDirect, Scopus, etc.) and other applicable sites. Our patient was diagnosed with a multi-fibroid uterus, and had failed medical management. The surgery occurred in an elective outpatient operating room.
EXPOSURE: A robotic myomectomy with the LUS is demonstrated, along with the use and set up of a LUS.
MAIN OUTCOME MEASURE: Number of fibroids resected at the time of myomectomy.
RESULTS: LUS using a 5-10 MHz transducer delivered real-time, high-resolution imaging directly on uterine tissue, eliminating acoustic artifacts and overcoming reduced tactile feedback in minimally invasive surgery. As demonstrated in prospective literature, LUS detects a median of two additional fibroids per patient-predominantly FIGO Types 2 and 3-compared to preoperative imaging.