OP11.02: Uterine junctional zone (JZ) in infertile and fertile patients with and without pelvic endometriosis: a three-dimensional transvaginal ultrasound (3TVS) study

2012 ◽  
Vol 40 (S1) ◽  
pp. 87-87
Author(s):  
C. Exacoustos ◽  
E. Zupi ◽  
D. Luciano ◽  
B. Corbett ◽  
G. De Felice ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Three Dimensional ◽  
Pelvic Endometriosis ◽  
Junctional Zone

Interobserver Agreement in the Study of 2D and 3D Sonographic Criteria for Adenomyosis

2017 ◽  
Vol 9 (3) ◽  
pp. 211-215 ◽  
Author(s):  
José M. Puente ◽  
Juan L. Alcazar ◽  
Pilar Martinez-Ten ◽  
Carmina Bermejo ◽  
María T. Troncoso ◽  
...  
Keyword(s):  
Interobserver Agreement ◽  
Transvaginal Ultrasound ◽  
Three Dimensional ◽  
Kappa Index ◽  
Junctional Zone ◽  
Experienced Observer ◽  
3D Sonography ◽  
2D And 3D ◽  
Very High ◽  
Good Agreement

Objective To study the degree of interobserver agreement for already known two-dimensional (2D) and three-dimensional (3D) sonography criteria of adenomyosis. Methods Fifty cases (25 adenomyosis cases, 25 non-adenomyosis cases) were studied by four expert observers and a less-experienced researcher. Each sonographic adenomyosis criterion was separately studied. Interobserver agreement was analysed by the kappa index with 95% confidence interval (CI). Results The degree of agreement about diagnosing adenomyosis was high or very high in all pair-wise comparisons (kappa values of 0.58–0–92). The agreement on identifying intra-myometrial cysts (kappa values of 0.46–0.79) and evaluating the junctional zone (JZ) by 3D-transvaginal ultrasound (3D-TVS) (kappa index of 0.46–0.88) was good. The agreements reached when evaluating the other criteria varied, but good agreement was generally reached. Conclusions Both the 2D-TVS and 3D-TVS criteria employed in diagnosing adenomyosis were reproducible parameters in adenomyosis diagnostics. The results were reproducible, even by a less experienced observer.

scholarly journals Effectiveness of ovarian suspension in preventing postoperative ovarian adhesions in patients with severe pelvic endometriosis—a case-control study

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Zahra Dehbashi ◽  
Shaheen Khazali ◽  
Fateme Davari Tanha ◽  
Farnaz Mottahedian ◽  
Mahsa Ghajarzadeh ◽  
...  
Keyword(s):  
Pregnancy Rate ◽  
Transvaginal Ultrasound ◽  
Stage Iv ◽  
Clinical Pregnancy ◽  
Reproductive Age ◽  
Deep Infiltrating Endometriosis ◽  
Pelvic Endometriosis ◽  
Double Blind ◽  
Entire Study

Abstract Background Endometriosis can exert obvious negative effects on women’s quality of life. Excisional surgery is among the most effective treatments for severe pelvic endometriosis. The prevalence of severe pelvic adhesions following a laparoscopic examination of severe endometriosis varies between 50 and 100%. Temporary intraoperative ovarian suspension is a method for the reduction of adhesions is in the treatment of severe pelvic endometriosis. Given the importance and the prevalence of endometriosis and its complications, we conducted the present study to determine more effective adhesion-reducing methods with a view to improving the quality of the treatments provided. Methods The present prospective double-blind randomized clinical trial was conducted on 50 women of reproductive age (≥ 19 years) diagnosed with severe pelvic endometriosis on transvaginal ultrasound scans and vaginal examinations at Yas Hospital between 2014 and 2017. Women with severe endometriosis (stage III, stage IV, and deep infiltrating endometriosis) requiring an extensive bilateral dissection of the pelvic walls and the rectovaginal space, with preserved uterus and ovaries, were included in the study. The preoperative severity of ovarian adhesions was assessed in terms of ovarian motility, measured through a combination of gentle pressures applied with the vaginal probe and abdominal pressures applied with the examiner’s free hand. A table of random numbers was used to choose which ovary to suspend. The entire study population received standard general anesthesia. In the laparoscopic examination of the cases with severe endometriosis, both ovaries were routinely suspended to the anterior abdominal wall with PROLENE sutures. At the end of the surgery, one of the ovaries was kept suspended for 7 days, whereas the other ovarian suspension suture was cut. At 3 months postoperatively, all the patients underwent ultrasound scans for the assessment of ovarian motility and adhesions. The severity of pelvic pain was defined according to a visual analog score. After surgery, infertile women were followed for 2-4 years, and were contacted regarding the infertility treatment. Chemical and clinical pregnancy rates was compered between the two groups. Results Three months after laparoscopy, the adhesions were mild in 41 (82%) patients and moderate in 9 (18%) on the suspended side, and mild in 12 (24%) patients and moderate in 38 (76%) on the control side (P < 0.001). The mean dysmenorrhea score was 6.8 ± 1.5 before surgery and 4.5 ± 1.4 after surgery (P < 0.001). The chemical pregnancy rate and clinical pregnancy rate were not different in the suspended and control groups (P = 0. 62, P = 0.64). Conclusions The reduction in adhesions via ovarian suspension surgery promises reductions in the complications of endometriosis.

A new method for volumetric measurement of the normal female cervix by three‐dimensional transvaginal ultrasound

2021 ◽  
Author(s):  
Matija Prka ◽  
Albert Despot ◽  
Alemka Brnčić Fischer ◽  
Herman Haller ◽  
Ana Tikvica Luetić ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Three Dimensional ◽  
New Method ◽  
Normal Female ◽  
Volumetric Measurement

scholarly journals Value of transvaginal ultrasound in assessing severity of pelvic endometriosis

2010 ◽  
Vol 36 (2) ◽  
pp. 241-248 ◽  
Author(s):  
T. K. Holland ◽  
J. Yazbek ◽  
A. Cutner ◽  
E. Saridogan ◽  
W. L. Hoo ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Pelvic Endometriosis
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