{"paper_id":"1a7d11c0-ad8d-458e-92ad-ea264a3b1dc1","body_text":"ECR 2019 / C-1275\nAn innovative treatment of endometriosic cysts: radiofrequency thermal-ablation by transvaginal route under ultrasound guidance.\nCongress:\nECR 2019\nPoster Number:\nC-1275\nType:\nEducational Exhibit\nKeywords:\nEducation and training, Technical aspects, Surgery, Ablation procedures, Ultrasound, Pelvis, Interventional non-vascular, Genital / Reproductive system female\nAuthors:\nG. Dedone1, G. Turtulici2, E. Silvestri1; 1Genoa/IT, 2Genova (GE)/IT\nDOI:\n10.26044/ecr2019/C-1275\nLearning objectives\nTo describe an alternative and new procedure to treat endometriosic cysts accessible by transvaginal route with radiofrequency thermoablation and contextual injection of dextrose solution in order to guarantee heat conduction and convection necessary to perform an effective and safe intervention.\nBackground\nEndometriosis is found in 10% of women of childbearing age.\nIt is a chronic and recurrent benign disease,\ncharacterized by the proliferation of endometrial tissue outside the uterine cavity underestrogen stimulation.\nAcute and chronic inflammatory processes involve multiple organs,\nnot just pelvic ones.\nThis pathology has a significant impact on the quality of life.\nThe most common symptoms are:\ndysmenorrhea,\ndyspareunia,\nchronic pelvic pain,\ndysuria,\ndischezia.\nIt also may has a potential negative impact on fertility [1].\nDepending on the site,\nwe can classify endometriosis...\nFindings and procedure details\nThe treatment object has been proposed to patients of childbearing age with endometriotic cysts accessible by transvaginal route and wishing to preserve the ovary.\nThe treatment was performed throughout its duration under transvaginal ultrasound guidance,\nallowing a real time control of ablation,\nincreasing the overall safety of the procedure.\nProcedure step by step:\nPerforming spinal or general anesthesia and premedication with antibiotic therapy;\nCorrect positioning of the supine patient in a gynecological position (Fig.2);\nPreparation of the sterile field and disinfection of the transvaginal path;...\nConclusion\nIn our experience this procedure has proved to be a valid alternative in the treatment of endometriotic ovarian cysts accessible by transvaginal route,\nas it is effective,\nsafe and well tolerated by patients.\nPersonal information\nDr.ssa Giorgia Dedone\nDepartment of Health Sciences (DISSAL)\nSection of Radiology,\nUniversity of Study of Genoa.\ne-mail: [email protected]\nReferences\n[1] Giudice LC.\nClinical practice.\nEndometriosis.\nN Engl J Med.\n2010 Jun 24; 362(25):2389-98.\n[2] Sanchez 2014\n[3] Timmerman D.,\nValentin L.,\nBourne T.H,\nCollins W.P.,\nVerrelst H.,\nVergote I.\nInternational Ovarian Tumor Analysis G.\nTerms,\ndefinitions and measurements to describe the sonographic features of adnexal tumors: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) Group.\nUltrasound Obstet Gynecol 2000; 16:500-505\n[4] Van Holsbeke C.,\nVan Calster B.,\nGuerriero S.,\nSavelli L.,\nPaladini D.,\nLissi A.A.,\nCzekierdowski A.,\nFischerova D.,\nZhang J.,\nMestdagh...","source_license":"CC0","license_restricted":false}