Vl343: Microsurgical Organ-Sparing Ultrasound Guided Needle Localization for Bilateral Synchronous Testicular Tumor Combined with Microdissection for Sperm Extraction and Cryopreservation in an Azoospermic Patient Evaluated for Infertility- A 3 D Demonstration of Principles and Technique

Abstract Background: Neuromata formation in the infrapatellar branch of the saphenous nerve (IPBSN) has been well described as a potential complication of arthroscopic knee surgery and knee trauma. Resection has been proven to provide improvement of pain and increased range of motion. Currently, physical examination and surgical exploration based on anatomic landmarks are the standard for intraoperative localization of IPBSN neuromas. Objective: To demonstrate the anatomy of the IPSBN and the use of preoperative ultrasound and needle placement for localization of the nerve before sectioning. Methods: Using both anatomic dissections and the combination of preoperative ultrasound and curved-needle placement, we demonstrate the technical nuances to localize the IPBSN before operative section. Results: Cadaveric dissection is used to illustrate the main trunk of the IPSBN and its branches. In 2 cases, ultrasound guidance was effectively used to localize the saphenous nerve and its branches and facilitate the operative treatment of patients with symptomatic IPBSN neuromas. Conclusion: Ultrasound is a widely accepted and commonly utilized imaging modality; however, in this report, ultrasound-guided needle localization was used to aid in the resection of neuromas of small, painful sensory nerves.

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Ultrasound-Guided Needle Localization during Open Parotid Sialolithotomy

Otolaryngology ◽

10.1177/0194599814530408 ◽

2014 ◽

Vol 151 (1) ◽

pp. 59-64 ◽

Cited By ~ 2

Author(s):

Arjun S. Joshi ◽

Amit J. Sood

Keyword(s):

Ultrasound Guided ◽

Needle Localization

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A CASE OF ORGAN SPARING SURGERY FOR METACHRONOUS BILATERAL TESTICULAR TUMOR, WITH MAINTAINING TESTICULAR FUNCTION

The Japanese Journal of Urology ◽

10.5980/jpnjurol1989.95.621 ◽

2004 ◽

Vol 95 (3) ◽

pp. 621-625

Author(s):

Mitsuru Saito ◽

Naotake Shimoda ◽

Yasushiro Terai ◽

Susumu Akihama ◽

Masahiro Iinuma ◽

...

Keyword(s):

Testicular Tumor ◽

Testicular Function ◽

Organ Sparing

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Feasibility of ultrasound-guided absorbable retaining thread needle localization for nonpalpable breast lesions

ULTRASONOGRAPHY ◽

10.14366/usg.18059 ◽

2019 ◽

Vol 38 (3) ◽

pp. 272-276

Author(s):

Seo Young Park ◽

Hye Jung Kim ◽

Won Hwa Kim ◽

Hye Jin Cheon ◽

Hoseok Lee ◽

...

Keyword(s):

Breast Lesions ◽

Ultrasound Guided ◽

Needle Localization ◽

Nonpalpable Breast Lesions

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Ultrasound-Guided Core Biopsy

10.1093/med/9780190270261.003.0056 ◽

2018 ◽

Author(s):

Philip A. Di Carlo

Keyword(s):

Core Biopsy ◽

Breast Biopsy ◽

Excisional Biopsy ◽

Ultrasound Guided ◽

Needle Localization ◽

Image Guided ◽

Guided Biopsy ◽

Multiple Imaging ◽

Key Points

Prior to 1993, when ultrasound-guided core breast biopsy was first described by Parker and colleagues, surgery following image-guided needle localization was necessary to obtain a histological diagnosis of breast lesions. But there are many financial, practical, and clinical advantages of image-guided core biopsy over surgical excisional biopsy. There are also many advantages to ultrasound-guided biopsy over stereotactic- or MRI-guided biopsy, detailed in this chapter. Ultrasound is now usually the modality of choice by which to perform core biopsies if the lesion is visualized by multiple imaging modalities. This chapter, appearing in the section on interventions and surgical changes, reviews the key points of performing ultrasound-guided core biopsy. Topics discussed include protocols for both spring-loaded and vacuum-assisted devices; pre-procedure and post-procedure management, and imaging follow-up.

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