Journal
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
Volume 26, Issue 6, Pages 1177-1180Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jmig.2019.04.003
Keywords
Augmented reality; Gynecologic surgery; Laparoscopy; Adenomyomectomy; Magnetic resonance imaging
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Augmented reality (AR) is a surgical guidance technology that allows key hidden subsurface structures to be visualized by endoscopic imaging. We report here 2 cases of patients with adenomyoma selected for the AR technique. The adenomyomas were localized using AR during laparoscopy. Three-dimensional models of the uterus, uterine cavity, and adenomyoma were constructed before surgery from T2-weighted magnetic resonance imaging, allowing an intraoperative 3-dimensional shape of the uterus to be obtained. These models were automatically aligned and fused with the laparoscopic video in real time, giving the uterus a semitransparent appearance and allowing the surgeon in real time to both locate the position of the adenomyoma and uterine cavity and rapidly decide how best to access the adenomyoma. In conclusion, the use of our AR system designed for gynecologic surgery leads to improvements in laparoscopic adenomyomectomy and surgical safety. (C) 2019 Published by Elsevier Inc. on behalf of AAGL.
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