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.