Combined transabdominal and transvaginal ultrasound-guided percutaneous microwave ablation of uterine myomas: an effective monitoring technique

Lin, Min; Jian, He; Li, Shangqing; Li, Zuo‐Lin; Li, Xiaolian; Qiu, Sihua; Chen, Shujin; Zhang, Tingting; Wang, Jinyong; Li, Shuiping

doi:10.1080/02656736.2022.2154576

Cited by 3 publications

(2 citation statements)

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“…These findings underscore the potential of PMWA in resolving anemia resulting from heavy menstrual bleeding associated with fibroids. A recent innovative application of this technique has been demonstrated by Lin et al, where PMWA was monitored using a combination of transabdominal and transvaginal ultrasound (TA/TV US) [ 58 ]. Follow-up results from three months post-procedure showed considerable improvements in menstrual volume and hemoglobin levels [ 58 ].…”

Section: Discussionmentioning

confidence: 99%

“…A recent innovative application of this technique has been demonstrated by Lin et al, where PMWA was monitored using a combination of transabdominal and transvaginal ultrasound (TA/TV US) [ 58 ]. Follow-up results from three months post-procedure showed considerable improvements in menstrual volume and hemoglobin levels [ 58 ]. However, the efficacy of PMWA is heavily influenced by the applicator’s angle of use, which could potentially limit the coverage and efficiency of ablation, particularly for myomas located in the sidewall [ 59 ].…”

Section: Discussionmentioning

confidence: 99%

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Hysteroscopic diode laser myolysis: from a case series to literature review of incisionless myolysis techniques for managing heavy menstrual bleeding in premenopausal women

Vitale,

Saponara,

Sicilia

et al. 2023

Arch Gynecol Obstet

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Purpose This case series examined the safety and effectiveness of hysteroscopic myolysis using laser-induced interstitial thermo-therapy (LITT) for treating heavy menstrual bleeding (HMB) in premenopausal women with FIGO type 1 or 2 uterine fibroids, not planning for future fertility. Additionally, a comprehensive review of innovative, minimally invasive, incisionless myolysis techniques was conducted. Methods Women with HMB, sonographically diagnosed with a single FIGO type 1 or 2 fibroid, underwent hysteroscopic myolysis using the Leonardo® diode laser. Effectiveness was assessed via transvaginal ultrasound measurement of myoma size, volume and vascularization pre and post-procedure. Moreover, we also evaluated any improvements in symptoms using the Pictorial Blood Loss Assessment Chart (PBAC score) scores. Results The procedure resulted in significant HMB reductions and noticeable fibroid size, volume, and vascularization decrease in all three patients, with no reported complications. The literature review revealed both advantages and limitations of the minimally invasive, incisionless myolysis techniques. Conclusions Hysteroscopic laser myolysis is a safe and effective therapeutic intervention for patients experiencing HMB, diagnosed with FIGO type 1 or 2 fibroids, and not planning for future fertility. The procedure resulted in significant reductions in menstrual blood loss and fibroid size. Despite the promising results, it is essential to note the limitations of this report, including its case series design, a small number of patients, and a short follow-up period. Further research is necessary to confirm these results.

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Section: Discussionmentioning

confidence: 99%