More than 25 years ago, when ultrasound diagnostic methods were
first intro- duced into gynecology and obstetrics, few of the
pioneers of these techniques sus- pected what importance
sonographic diagnosis was destined to assume. It was soon
recognized that the organs of the lesser pelvis could be visualized
to much greater advantage by inserting probes into the natural
bodily orifices than by abdominal sonography. Full exploitation of
the physical properties of ultra- sound had to wait, as so often in
the history of sonography, for technological ad- vances.
Endosonography in the form available to us today combines the
advantages of endoscopy and sonography. The next light-reflecting
surface, once the limit of en- doscopy, represents no barrier to
ultrasound. A whole range of both diagnostic and therapeutic
procedures can be sonographically guided. Blood flow in vessels
lying deep in the lesser pelvis can now be measured by means of
vaginal duplex sonography.
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