- Determine safe laparoscopic entry sites in patients with prior abdominal surgeries
- Assess cul de sac for safe entry for TVH or vNOTES cases,
- Determine safest hysterectomy route in patients with prior c-sections
- assess ureteral patency with both transvaginal and transabdominal scanning for perioperative patients
Design: Video with case examples
Setting: Resident surgical clinic at academic medical center
Patients or Participants: Patients undergoing laparoscopy, hysterectomy , or vNOTES cases
Interventions: Ultrasound is routinely done at our preop clinic to assess patients in the above situations. Assessment of ureteral jets is also taught to be used intraoperatively and postoperatively to assess ureteral patency
Measurements and Main Results: Ultrasound correctly predicted adhesions or cul de sac disease/obliteration in our surgical patients, allowing for safe, minimally invasive preocedures
Conclusion: Utilization of bedside ultrasound is an easily learned and cost-effective tool to optimize surgical planning and safety for GYN patients.
Burns, J*. Ob/gyn, Atrium Health Wake Forest Baptist, Winston-Salem, NC, Kammire, LD. OB-GYN, Wake Forest School of Medicine, Winston Salem, NC