Intraoperative ultrasound in the surgical treatment of benign ovarian masses
Objective. To investigate the abilities of an intraoperative laparoscopic ultrasound transducer with a flexible controllable head to diagnose and treat surgically patients with benign ovarian masses.Naumova N.V., Krutova V.A., Boldovskaya E.A.
Subjects and methods. The results of surgical treatment were prospectively analyzed in 172 patients with benign ovarian masses, who were divided into two groups. A study group consisted of 86 patients who had undergone intraoperative transvaginal and laparoscopic echography in addition to transvaginal and transabdominal ultrasonography before and after surgery. A control group included 86 patients with benign ovarian masses who had not intraoperative ultrasound examination.
Results. Intraoperative laparoscopic ultrasonography can shorten the duration of surgical intervention by reducing the number of intraoperative complications and blood loss and the time of surgical revision. In addition, laparoscopic echography helps avoid postoperative complications, recurrences, and repeat surgery.
Conclusion. According to our investigation, intraoperative laparoscopic ultrasonography can determine the presence and localization of ovarian space-occupying lesions, as well as their number, sizes, and structure, thereby contributing to the choice of an optimal volume for surgical treatment and its method. The ultrasonography ensures surgical safety, which ultimately improves the quality of life in patients and maximizes the preservation of reproductive function.
Keywords
intraoperative ultrasound examination
laparoscopic echography
intraoperative transvaginal echography
benign ovarian mass
teratoma
fibroma
cystadenoma
References
- Вocтров A.Н., Kopнeeвa И.А. Cтeпaнoв C.O. Диффeрeнциaльнaя ультразвулковaя диaгнocтика дoбpoкaчественных и злокачественных образований яичников. Онкология. Журнал им. П.А. Герцена. 2015; 4(3): 52-8. https://dx.doi.org/ 10/17116/onkolog20154352-58. [Vostrov A.N., Korneeva I.A., Stepanov S.O. Differential ultrasound diagnosis of benign and malignant ovarian tumors. Oncology. 2015; 3: 52-8. (in Russian)]. https://dx.doi.org/ 10/17116/onkolog20154352-58.
- Шевченко Ю.Л. Интраоперационное ультразвуковое исследование в частной хирургии. М.: Медицина; 2012. 239с. [Shevchenko Yu.L. Intraoperative ultrasound in private surgery. M.: Medicine. 2012; 239p. (in Russian)].
- Хачатрян А.К., Барабанова О.Э., Хачатрян Т.А., Вартанян С.Л. Интраоперационная эхография в диагностике зрелых тератом яичников у пациенток репродуктивного возраста. Естественные и технические науки. 2014; 5: 53-7. [Khachatryan A.K., Barabanova O.E., Khachatryan T.A., Vartanyan S.L. Intraoperative ultrasound in the diagnosis of mature ovarian teratomas in patients of reproductive age. Natural and technical sciences. 2014; 5: 53-7. (in Russian)].
- Буланов М.Н. Ультразвуковая гинекология. Курс лекций. 4-е изд. М.: Издательский дом Видар-М; 2017. 560с. [Bulanov M.N. Ultrasound gynecology. Lecture course. M.: Vidar. 2017; 560 p. (in Russian)].
- Deziel D. Routine laparoscopic ultrasound during laparoscopic cholecystectomy. Surgeries. 08.01.2016. Available https://www.csurgeries.com/video/routine-laparoscopic-ultrasound. https://dx.doi.org/ 10.17797/njy9uc14u2.
- Востров А.Н., Гуц О.В., Новикова Е.Г., Степанов С.О. Возможности интраоперационной ультразвуковой диагностики при раке яичников. Онкология. Журнал им. П.А. Герцена. 2016; 5(3): 19-22. [Vostrov A.N., Guts O.V., Novikova E.G., Stepanov S.O. Capabilities of intraoperative ultrasound diagnosis in ovarian cancer. Oncology. 2016; 3: 19-22. (in Russian)]. http://dx.doi.org/ 10.17116/onkolog20165319-22.
- Звягинцев В.В., Фомов Г.В., Мухин А.С., Горпинюк В.П. Первый опыт интраоперационной ультразвуковой навигации при лапароскопических операциях. Эндоскопическая хирургия. 2019; 23(3): 5-11. [Zvyagincev V.V., Fomov G.V., Muhin A.C., Gorpinuyk V.P. The first experience of intraoperative ultrasound navigation during laparoscopic operations. Endoscopic surgery. 2019; 25 (3): 5-11. (in Russian)]. http://dx.doi.org/10.17116/endoskop2019250315.
- Егикян Н.М., Сущевич Л.В., Каптушева Л.М. Трансвагинальная гидролапароскопия в обследовании пациенток с бесплодием. Вопросы гинекологии, акушерства и перинатологии. 2012; 4(5): 49-53. [Yeghikyan N.M., Sushevich L.V., Kaptusheva L.M. Transvaginal hydrolaparoscopy in a study of patients with infertility. Questions of ginecology, obstetrics and perinatology. 2012; 4(5): 49-53. (in Russian)].
- Хачатрян А.К., Гаспаров А.С. Интраоперационная и лапароскопическая эхография в репродуктивной гинекологии. Учебное пособие. М.: МИА; 2013. 72с. [Khachatryan A.K. Gasparov A.S. Intraoperative and laparoscopic echography in reproductive gynecology: Tutorial. Moscow: MIA. 2013; 72 p. (in Russian)].
- Наумова Н.В., Болдовская Е.А., Макухина В.В., Крутова В.А. Интраоперационная ультразвуковая навигация при хирургическом лечении миом матки. Кубанский научный медицинский вестник. 2018; 25(1): 30-3. [Naumova N.V., Boldovskaya E.A., Makukhina V.V., Krutova V.A. Intraoperative ultrasound navigation in the surgical treatment of uterine myomas. Kubanskij nauchnyij medicinskij vestnic. 2018; 25(1): 30-3.(in Russian)]. http://dx.doi.org/10.25207/1608-6228-2018-25-1-30-33.
Received 16.04.2020
Accepted 30.06.2020
About the Authors
Natalia V. Naumova, Candidate of Medicine, Associate Professor of the Department of Radiation Diagnostics, Kuban State Medical University, Ministry of Healthcare of Russian Federation; Head of the Department of Radiation Diagnostics, Clinic of the Kuban State Medical University, Ministry of Health of Russian Federation.Tel.: +7(861)257-05-09. E-mail: nnamova@bagk-med.ru. ORCID: 0000-0003-5423-6411. 4/1, Zipovskaya str., Krasnodar, Russia, 350010.
Victoria A. Krutova, Doctor of Medicine, Professor of the Department of Obstetrics, Gynecology, and Perinatology, Kuban State Medical University, Ministry of Health of Russian Federation; Head Physician, Clinic of Kuban State Medical University, Ministry of Health of Russian Federation. Tel.: +7(861)257-05-09.
E-mail: vik-krutova@yandex.ru. ORCID: 0000-0002-9907-7491. 4/1, Zipovskaya str., Krasnodar, Russia, 350010.
Elena A. Boldovskaya, Candidate of Medicine, ultrasound specialist of the highest category of the Department of Radiation Diagnostics,
Clinic of the Kuban State Medical University, Ministry of Healthcare of Russian Federation.
Tel.: +7(918)449-19-74. E-mail: mensfild-park@rambler.ru. ORCID: 0000-0003-4323-6374. 4/1, Zipovskaya str., Krasnodar, Russia, 350010.
For citation: Naumova N.V., Krutova V.A., Boldovskaya E.A. Intraoperative ultrasound in the surgical treatment of benign ovarian masses.
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2020; 10: 162-167 (in Russian)
https://dx.doi.org/10.18565/aig.2020.10.162-167
Similar Articles
