Ultrasound-Guided Percutaneous Microwave Ablation for Submucosal Uterine Fibroids

Effectiveness of ultrasound-guided percutaneous microwave ablation for symptomatic uterine fibroids: a multicentre study in China

“…During ablation and 12 months of follow-up, no major complications occurred. The discharge of necrotic tissue was considered to be a cure for the disease [7]. Vaginal secretion could be caused by liquefaction of the necrotic tissue and by irritation and inflammation of the endometrium.…”

“…US-guided percutaneous microwave ablation (PMWA) therapy utilises electromagnetic microwave heat to induce cellular death via coagulation necrosis. Single-centre research studies have confirmed the safety and efficacy of this treatment; it has been shown that this treatment is effective, minimally invasive and uterus-conserving with effective relief of clinical symptoms after therapy [4][5][6][7][8][9][10][11]. However, no multicentre study with a large sample has been conducted to confirm the conclusions of these single-centre investigations.…”

Thermal ablative treatment of uterine fibroids

“…Fibroids of greater than 7 cm in diameter have an initial ablation with the two antennas of 50 W for 300 s, followed by a second ablation after withdrawing the antennas by 1 cm [41]. The mean fibroid volume reduction following this treatment is between 90 and 94%, and there have been no major adverse events described [41,42]. The effectiveness of microwave ablation of uterine fibroids in terms of the thermal dose effect is related to the appearance of fibroids on T2-weighted MRI [43].…”

Ultrasound-guided transvaginal radiofrequency ablation of uterine fibroids assisted by virtual needle tracking system: a preliminary study

“…These procedures use various forms of energy to heat and ablate uterine fibroids, include radiofrequency energy, focused ultrasound and microwaves [13][14][15].…”