Bs. Hertzberg et al., OPTIMIZING TRANSPERINEAL SONOGRAPHIC IMAGING OF THE CERVIX - THE HIP ELEVATION TECHNIQUE, Journal of ultrasound in medicine, 13(12), 1994, pp. 933-936
Citations number
22
Categorie Soggetti
Acoustics,"Radiology,Nuclear Medicine & Medical Imaging
Although transperineal ultrasonography is a valuable technique for ima
ging the cervix in pregnancy, transperineal imaging can be compromised
when bowel gas obscures the external portion of the cervix. To determ
ine if a hip elevation technique could improve visualization of a part
ially obscured cervix, transperineal scanning was performed with the h
ips and buttocks elevated on a thick cushion in 23 patients with subop
timal routine transperineal views. The ''hips up'' maneuver was tolera
ted by all patients and improved cervical visualization in 19 of 23 ca
ses. We conclude that the simple maneuver of elevating the patient's h
ips and buttocks on a thick cushion is a useful adjunctive technique t
o improve transperineal imaging of the cervix when routine transperine
al views are compromised by adjacent bowel gas.