Ultrasound mapping system for the surgical management of deep infiltrating endometriosis

Caterina Exacoustos, C. Exacoustós, Mario Malzoni, Malzoni M, Di Giovanni A, Alessandra Di Giovanni, A. Di Giovanni, Lucia Lazzeri, Claudia Tosti, Felice Petraglia, Errico Zupi
Fertility and sterility · 2014 · vol. 102(1) , pp. 143–150.e2 · doi:10.1016/j.fertnstert.2014.03.043 · PMID:24794315 · W2073171879
article OA: bronze CC0 ⤵ 124 in-corpus citations
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This paper describes an ultrasound mapping system designed to assist in the surgical management of deep infiltrating endometriosis.

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Abstract

ObjectiveTo assess the accuracy of transvaginal sonography (TVS) in defining size and location of deep infiltrating endometriosis (DIE) with laparoscopic/histologic confirmation.DesignProspective observational study.SettingUniversity hospital.Patient(s)One hundred four women with suspected DIE on the basis of TVS.Intervention(s)Patients with DIE underwent TVS evaluation before laparoscopic surgery. An accurate mapping of the extent of the disease was recorded during TVS and at laparoscopy. This new mapping system was developed to assess the extent of endometriosis by measuring the size and depth of the lesions at the various pelvic locations.Main outcome measure(s)Surgical and histologic confirmation of the ultrasonographic data to evaluate the presence and location of DIE and creation of a new mapping methodology for detecting DIE by TVS.Result(s)Depending on the different location of the lesions, the accuracy of TVS ranged from 76%-97%. The lowest sensitivity (59%) and accuracy (76%) were obtained for TVS in the diagnosis of vaginal endometriosis, whereas the greatest accuracy (97%) was shown in detecting bladder lesions and Douglas obliteration.Conclusion(s)This new ultrasound mapping system is accurate for detecting the extent of DIE and may be useful for preoperative planning and intraoperative management of symptomatic patients with DIE.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Digestive System Diseases Digestive System Diseases Endometriosis Endometriosis Laparoscopy Peritoneal Diseases Peritoneal Diseases Surgery, Computer-Assisted Urologic Diseases Urologic Diseases Adult Digestive System Diseases Digestive System Diseases Digestive System Diseases Endometriosis Endometriosis Endometriosis Female Hospitals, University Humans

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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