Intraoperative Ultrasound during Fertility-Sparing Surgery: A Systematic Review and Practical Applications

2020 ◽  
Vol 85 (2) ◽  
pp. 127-148 ◽  
Author(s):  
Nicolas Galazis ◽  
Srdjan Saso ◽  
Flavia Sorbi ◽  
Benjamin Jones ◽  
Chiara Landolfo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intraoperative Ultrasound ◽  
Practical Applications ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing

scholarly journals Fertility-sparing surgery in epithelial ovarian cancer: a systematic review of oncological issues

2016 ◽  
Vol 27 (11) ◽  
pp. 1994-2004 ◽  
Author(s):  
E. Bentivegna ◽  
S. Gouy ◽  
A. Maulard ◽  
P. Pautier ◽  
A. Leary ◽  
...  
Keyword(s):  
Systematic Review ◽  
Ovarian Cancer ◽  
Epithelial Ovarian Cancer ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing

Reproductive Outcomes after Fertility-Sparing Surgery for Focal and Diffuse Adenomyosis: A Systematic Review

2018 ◽  
Vol 25 (4) ◽  
pp. 608-621 ◽  
Author(s):  
Justin Tan ◽  
Sophie Moriarty ◽  
Omur Taskin ◽  
Catherine Allaire ◽  
Christina Williams ◽  
...  
Keyword(s):  
Systematic Review ◽  
Reproductive Outcomes ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing

scholarly journals The use of intra-operative ultrasound in gynecological surgery: a review

2021 ◽  
Vol 7 (3) ◽  
pp. FSO678
Author(s):  
Karen Grewal ◽  
Benjamin Jones ◽  
Ariadne L'Heveder ◽  
Sita Jindal ◽  
Nicolas Galazis ◽  
...  
Keyword(s):  
Imaging Modality ◽  
Intraoperative Ultrasound ◽  
Gynecological Surgery ◽  
Gynecological Oncology ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing ◽  
Benign Gynecology ◽  
Surgical Field ◽  
Operative Ultrasound ◽  
Invasive Techniques

Ultrasound is a readily available, safe and portable imaging modality that is widely applied in gynecology. However, there is limited guidance for its use intra-operatively especially with complex gynecological procedures. This narrative review examines the existing literature published on the use of intraoperative ultrasound (IOUS) in benign gynecology and in gynecological oncology. We searched for the following terms: ‘intraoperative,’ ‘ultrasonography,’ ‘gynecology’ and ‘oncology’ using Pubmed/Medline. IOUS can minimize complications and facilitate difficult benign gynecological procedures. There is also a role for its use in gynecological oncology surgery and fertility-sparing surgery. The use of IOUS in gynecological surgery is an emerging field which improves visualization in the surgical field and aids completion of minimally invasive techniques.

Fertility sparing surgery for patients with FIGO stage I clear cell ovarian carcinoma: a database analysis and systematic review of the literature

2020 ◽  
Vol 30 (9) ◽  
pp. 1372-1377 ◽  
Author(s):  
Dimitrios Nasioudis ◽  
Lakeisha Mulugeta-Gordon ◽  
Erin McMinn ◽  
Melissa K Frey ◽  
Eloise Chapman-Davis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Overall Survival ◽  
Cell Carcinoma ◽  
Clear Cell ◽  
Radical Surgery ◽  
Clear Cell Carcinoma ◽  
Stage I ◽  
Ovarian Clear Cell Carcinoma ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing

ObjectiveFertility sparing surgery for patients with early stage ovarian clear cell carcinoma is controversial. We aimed to investigate the impact of fertility sparing surgery on the oncologic outcomes of young patients with stage I ovarian clear cell carcinoma.MethodsThe National Cancer Database was accessed and patients with pathological stage IA or IC ovarian clear cell carcinoma, aged <45 years, were selected. Based on site specific surgery codes, patients who underwent fertility sparing or radical surgery were identified. Overall survival was evaluated following generation of Kaplan–Meier curves, and compared with the log rank test. Multivariate Cox analysis was performed to control for possible confounders. A systematic review of literature of the Pubmed, EMBASE and Web of Science databases was also performed to summarize all reported cases.ResultsA total of 57 (35.8%) and 102 (64.2%) patients underwent fertility sparing and radical surgery. There was no difference in overall survival between patients who had fertility sparing and radical surgery (p=0.92); 5 year overall survival rates were 89% and 87.9%, respectively. After controlling for the performance of lymphadenectomy and disease substage, fertility sparing surgery was not associated with worse survival (hazard ratio 0.83, 95% confidence interval 0.30 to 2.32). A systematic review of the literature identified 132 patients with stage I disease who underwent fertility sparing surgery; a total of 20 patients (15.2%) experienced a relapse at a median of 18 months from surgery.ConclusionsIn a large cohort of young patients with stage I ovarian clear cell carcinoma, fertility sparing surgery was not associated with worse survival.

Oncological outcomes after fertility-sparing surgery for cervical cancer: a systematic review

2016 ◽  
Vol 17 (6) ◽  
pp. e240-e253 ◽  
Author(s):  
Enrica Bentivegna ◽  
Sebastien Gouy ◽  
Amandine Maulard ◽  
Cyrus Chargari ◽  
Alexandra Leary ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cervical Cancer ◽  
Oncological Outcomes ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing
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