Intraoperative contact ultrasonography during open myomectomy for uterine fibroids.

Objective: To evaluate the benefit of intraoperative ultrasound applied directly to the uterine serosa during surgery for uterine fibroids.

Design: Prospective study.

Setting: University hospital, tertiary care.

Patient(s): Women admitted for open myomectomy due to uterine fibroids.

Intervention(s): Intraoperative ultrasound (IUS) and intraoperative palpation were performed to detect the number of residual fibroids at the end of surgery, then the number of fibroids was recorded at anatomopathology examination.

Main Outcome Measure(s): Residual fibroids detected at IUS and intraoperative palpation at the end of open myomectomy.

Result(s): The comparison between the number of residual fibroids at IUS and at intraoperative palpation was statistically significant.

Conclusion(s): Intraoperative ultrasound is more efficient than palpation in detecting residual leiomyomata at the end of open myomectomy.