Intraoperative Ultrasound for Bowel Deep Infiltrating Endometriosis

Intraoperative Ultrasound for Bowel Deep Infiltrating Endometriosis

The decision to perform either conservative surgery or segmental bowel resection for bowel deep infiltrating endometriosis (DIE) is made intraoperatively, after a preoperative assessment, based on the nodule's features. We introduce a technique to evaluate DIE bowel nodules using laparoscopic i...

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Veröffentlicht in:Journal of ultrasound in medicine 2021-07, Vol.40 (7), p.1417-1425
Hauptverfasser: Puppo, Andrea, Olearo, Elena, Gattolin, Andrea, Rimonda, Roberto, Novelli, Antonia, Ceccaroni, Marcello
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Sprache:eng
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bowel endometriosis
bowel surgery
intraoperative ultrasound
rectal nodule features
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container_end_page 1425
container_issue 7
container_start_page 1417
container_title Journal of ultrasound in medicine
container_volume 40
creator Puppo, Andrea
Olearo, Elena
Gattolin, Andrea
Rimonda, Roberto
Novelli, Antonia
Ceccaroni, Marcello
description The decision to perform either conservative surgery or segmental bowel resection for bowel deep infiltrating endometriosis (DIE) is made intraoperatively, after a preoperative assessment, based on the nodule's features. We introduce a technique to evaluate DIE bowel nodules using laparoscopic intraoperative ultrasound (US) during laparoscopic radical treatment of 9 cases of DIE invading the bowel. Once the bowel lesion was isolated, an intraoperative 12–4‐MHz US transducer was placed on the surface of the nodules to study their US features and to gain measurements. Deep infiltrating endometriosis nodules appear at intraoperative US as hypoechoic elliptical lesions with a clear definition of margins and the depth of infiltration of the rectal wall.
doi_str_mv 10.1002/jum.15511
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source Wiley Online Library Journals Frontfile Complete
subjects bowel endometriosis
bowel surgery
intraoperative ultrasound
rectal nodule features
title Intraoperative Ultrasound for Bowel Deep Infiltrating Endometriosis
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