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Ultrasound-Guided Surgical Procedures

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Ultrasound Imaging in Reproductive Medicine

Abstract

Ultrasonography plays an integral role not only in diagnostic testing but also in guiding hysteroscopic procedures, difficult intrauterine device insertion and removal, evacuation of uterine contents after miscarriage, and assisted reproductive technology (ART) procedures such as oocyte retrieval and embryo transfer. The use of ultrasonography at the time of intrauterine procedures provides visualization of the intrauterine contents and the myometrium and may decrease procedure-associated risks, particularly uterine perforation. For hysteroscopic procedures such as uterine septum, myoma, or synechiae resection, operative ultrasound guidance provides an alternative to laparoscopy and, as a result, shortens overall operating time, decreases cost, and eliminates the risk of laparoscopy. Performing intrauterine procedures under ultrasound guidance may also increase the likelihood of completing the procedure in a single operation. Furthermore, improved outcomes have been noted with the addition of ultrasound guidance to ART procedures such as oocyte retrieval and embryo transfer.

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Marsidi, A.M., Session, D.R., Kawwass, J.F. (2019). Ultrasound-Guided Surgical Procedures. In: Stadtmauer, L., Tur-Kaspa, I. (eds) Ultrasound Imaging in Reproductive Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-16699-1_18

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