Introduction: Reconstructive operations of uterus (ROU) for multiple myomas (MM) are accompanied by high rate of recurrence more than 40%, which are caused by residual tumors. The aim of this study was to present our experience of intraoperative ultrasound (IOUS) guidance during ROU for MM. Material and methods: The prospective study were based on 57 consecutive patients with MM, the mean age were 32.4 ±1.7 years, whom were performed ROU with IOUS which permit to detected: (i) nonpalpable nodules, (ii) defined relation between myomas and uterine cavity, and (iii) uterine vessels (criteria’s were published previously (Mishina A., Gyn. Surg. 2005; 3; 223 225). IOUS was done using an 8-MHz curved array sector transducer attached to a Toshiba Just Vision 200 (Model SSA-320A, Tokyo, Japan). Results: In 36 (63.2%) cases axial and sagital images of the uterus revealed additional non-palpable small myomas less than 2.0 cm, situated intramural and submucosal, in 26 cases (45.6%) were opened uterine cavity, especially for submucosal myomas. Conclusion: Our case highlights the efficient application of IOUS in open reproductive procedures for MM, which allows determining the completeness of nodule excision less than 2 cm in ø; examinations of miometrium in preventing residual myomata; defining the locations of nodules to uterine artery and cavity.
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