OC02.01: Ebstein's anomaly of the tricuspid valve in the fetus: a multicentre experience

Abstract

and the current standard of care is represented by the maximal surgical effort aimed at leaving no residual disease. Bowel resection is common intervention in experienced hands for achievement of optimal debulking. We analysed ability of transvaginal ultrasound to predict need of rectosigmoid resection. Methods: Retrospective study comparing transvaginal ultrasound findings and histopatology and preoperative findings in advanced ovarian cancer patients (stages IIC-IV) surgically debulked at our department in years 2009–2011. Results: In total, 214 patients were included into this study, in 88 of them, rectosigmoid resection was needed to achieve complete debulking and involvement of bowel serosa or wall was confirmed by histology. In 82 of them ultrasound predicted need of bowel resection. In addition, ultrasound indicated bowel involvement in 92 patients, however, in 10 of them the bowel was not affected (as assessed by surgeon). This gives the sensitivity for transvaginal ultrasound prediction of rectosigmoid resection 93.2% and specificity 92.1% (PPV 89.1% and NPV 95.1%). Conclusions: Transvaginal ultrasound has high accuracy in prediction of rectosigmoid resection and thus allows for planning appropriate surgical team and conditions. This work was supported by the Internal Grant Agency, Ministry of Health of the Czech republic, project No. NT13070.