Endoscopic ultrasound. A new instrument for laparoscopic surgery.

OBJECTIVE

Although laparoscopy is an important tool for evaluating pelvic pathology, visualization is limited to the surface of structures. A method of seeing below the surface during laparoscopy could be useful. We report on our early experience with new laparoscopic ultrasound.

STUDY

DESIGN

Following diagnostic laparoscopy the pelvis is filled with fluid to obtain optimal imaging. A 10-mm ultrasound probe is introduced through the umbilical trocar and the uterus and adnexa examined.

RESULTS

High-resolution images can be obtained to delineate such abnormalities as suspected ovarian cysts and uterine myomata.

CONCLUSION

Endoscopic ultrasound is a new instrument that allows the surgeon to evaluate and define pelvic pathology suspected at the time of laparoscopy. Endoscopic ultrasound may augment the diagnosis of subtle pathologic findings during laparoscopy.