Abstract

BackgroundThe aim of this study was to assess the role of real‐time transrectal ultrasound (RT‐TRUS) guidance in complicated gynecological procedures.MethodDuring the study period RT‐TRUS was utilized to direct and assist the gynecological surgeon in two complicated gynecological procedures: Completing the evacuation of the uterine cavity after identification of uterine wall perforation during termination of pregnancy and drainage of posthysterectomy infected vault hematomas.ResultsIn all, 11 patients were treated by this fashion (6 abortions and 5 infected vault hematomas). All procedures were completed without any further complications and the patients were discharged the following day with uneventful follow‐up.ConclusionRT‐TRUS is an effective tool that can provide on‐line assistance to the gynecological surgeon in various pelvic procedures.

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