Transvaginal radiofrequency thermal ablation: A day‐care approach to symptomatic uterine myomas

Abstract

The results of this study suggest that RF ablation may represent a safe, well-tolerated, and effective day-care alternative to conventional surgery for the treatment of uterine myomas.

Transcervical, intrauterine ultrasound-guided radiofrequency ablation of uterine fibroids with the VizAblate System: safety, tolerability, and ablation results in a closed abdomen setting

“…It has been shown that radiofrequency ablation results in heat/ thermal fixation and coagulative necrosis within the treated fibroids [9,10]. Recent studies have been performed using RFA in conjunction with simultaneous, real-time sonography to enable volumetric ablations that result in volume reduction and symptomatic relief [8,9,11].…”

“…Cho and colleagues performed transcervical fibroid RFA in 153 women who were followed up to 18 months posttreatment [8]. Symptomatic relief was assessed through the Uterine Fibroid Symptom-Quality of Life questionnaire; the authors reported a 91% reduction in symptoms and a 46% improvement in quality of life.…”

“…Radiofrequency ablation (RFA) has been used as a fibroid treatment modality since the early 1990s, with multiple clinical studies confirming its safety and efficacy [4][5][6][7][8][9]. It has been shown that radiofrequency ablation results in heat/ thermal fixation and coagulative necrosis within the treated fibroids [9,10].…”

Alternatives thérapeutiques des fibromes hors traitement médicamenteux et embolisation

“…La myolyse par radiofréquence peut être guidée par coelioscopie ou par échographie [16][17][18][20][21][22]. Une large zone de nécrose (supérieure à 6 cm de diamètre) peut être obtenue par un abord unique et donc comparée à la cryothérapie, c'est une technique moins consommatrice de temps.…”

Alternatives endocavitaires à la myomectomie dans le traitement des fibromes symptomatiques

“…Ces techniques ont été évaluées dans le traitement des myomes sous-muqueux, seules, en association à la myomectomie par résection hystéroscopique (Tableau 2) ou plus rarement en association à des techniques de myolyse par voie vaginale (Tableau 3) [2][3][4][5][6][7][8][9][10][11][12][13][14].…”