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First step toward the standardization of intraoperative ultrasound in endometriosis surgery

Primer paso hacia la estandarización de la ecografía intraoperatoria en la cirugía de la endometriosis

First step toward the standardization of intraoperative ultrasound in endometriosis surgery

Article:

Intraoperative transvaginal ultrasound: a novel approach to refine surgical strategy in rectosigmoid endometriosis surgery

Hurni Y, La Torre F, Barbany-Freixa N, Barri-Soldevila PN.
J Ultrasound. 2025 Sep;28(3):739-744.
DOI: 10.1007/s40477-025-01061-4

Loho

This study, led by researcher Yannick Hurni from Dexeus Mujer, describes an intraoperative transvaginal ultrasound technique to evaluate deep rectosigmoid endometriosis and to improve real-time guidance for surgical decision-making.

In deep endometriosis, preoperative mapping can be limited or misleading due to the severe anatomical distortion caused by adhesions. After surgical dissection and anatomical restoration, intraoperative ultrasound allows for an accurate reassessment of the location, depth, and true extent of rectosigmoid endometriosis nodules. This reassessment can help guide the choice between conservative techniques and more radical procedures, such as colorectal resection, reducing both the risk of residual disease and that of overtreatment.

The article presents the standardized protocol developed by the team to perform this technique, which represents the first step of a multi-year project aimed at validating the usefulness of intraoperative ultrasound to refine surgical strategies in endometriosis.

Primer paso hacia la estandarización de la ecografía intraoperatoria en la cirugía de la endometriosis

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