Reducing Surgical Surprises: Integrating Routine Advanced Pelvic Ultrasound Into Patient Care

61 Views | Sep 15, 2021

Authors: Brittany MacGregor, Jayesh Tigdi, Hanan Alsalem, Mathew Leonardi

Affliations: McMaster University

Advanced pelvic ultrasound is an important and reliable tool for the diagnosis of gynecologic pathology and in pre-operative planning. We advocate for its routine use to identify pathology and evaluate severity and extent of disease to avoid intra-operative surprises or incomplete surgery. In this video we present a patient referred with bilateral dermoid cysts who was identified to have deep endometriosis and an obliterated pouch of douglas on advanced ultrasound. The systematic approach to an advanced pelvic ultrasound based on the IDEA consensus statement is reviewed along with sonographic and surgical images from our patient. We review how the ultrasound findings were essential for patient counselling, consent and eventual surgical management.

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