Pelvic Artificial Isolation with Ultrasound-Guided Fluid: A New Technique In Ovarian Endometriotic Cyst Transabdominal Sclerotherapy.

Abstract

BACKGROUND The aim of this study was to investigate the preparation method and effect of artificial pelvic fluid during the sclerotherapy of ovarian endometrioma cysts guided by ultrasound through an abdominal wall puncture. MATERIAL AND METHODS Under the guidance of ultrasound, a total of 70 cases of artificial pelvic isolation fluid were isolated during the sclerosis of ovarian endometrioma cysts through an abdominal wall puncture. The success rate, time required, intraoperative pain incidence, vagal reflex incidence, related complications, and efficacy of artificial pelvic isolation fluid were summarized and analyzed. RESULTS The results showed that the success rate of artificial pelvic isolation fluid was 100%, the average time of surgery was 9.1±1.3 min, the incidence of intraoperative pain was 5.71% (4/70), and the incidence of vagal reflex was 2.86% (2/70). No complications, such as bleeding, intestinal perforation, or infection, occurred. After 12 months of follow-up, the cure rate was 97.14% (68/70) and the effective rate was 100% (70/70). CONCLUSIONS We were first to use artificial pelvic isolation fluid technology to solve the problems of unclear cyst display, lack of safe puncture path, and severe pain during or after surgery in patients, and to exhibit a high level of intraoperative comfort for patients with a safe and effective clinical treatment.