Effect of Abdominal Liposuction on Sonographically Guided High‐Intensity Focused Ultrasound Ablation

Zhao WP, Wen-Peng Zhao, Wenpeng Zhao, Jinyun Chen, Chen JY, Jin-Yun Chen, Wenzhi Chen, Wen-Zhi Chen, Chen WZ
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2014 · vol. 33(9) , pp. 1539–1544 · doi:10.7863/ultra.33.9.1539 · PMID:25154933 · W2313956836
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This study found that abdominal liposuction increased the risk of skin burns and pain during sonographically guided high-intensity focused ultrasound ablation for uterine fibroids or adenomyosis.

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Abstract

OBJECTIVES: The aim of this study was to evaluate the effect of abdominal liposuction on sonographically guided high-intensity focused ultrasound (HIFU) ablation. METHODS: A total of 10 women with uterine fibroids or adenomyosis who had received abdominal liposuction were analyzed after sonographically guided HIFU ablation. Of the 10 women, 6 had a diagnosis of uterine fibroids, and 4 had a diagnosis of uterine adenomyosis. All of them had a history of a horizontal-margin split-cesarean delivery. In addition, 26 women with a history of a single horizontal-margin split-cesarean delivery who had a diagnosis of uterine fibroids or adenomyosis but had not received liposuction were analyzed together as a control group. RESULTS: Of the 10 women, 1 woman with uterine fibroids developed local skin erythema after treatment; 1 women with uterine adenomyosis developed a skin burn after treatment; and the remaining women had obvious skin-burning pain during treatment. All women who had not received liposuction finished the treatment with no serious adverse events during or after treatment. The pain scores and incidence of skin-burning pain were significantly higher in the liposuction group than the control group (P= .021 and .038, respectively). CONCLUSIONS: Abdominal liposuction may increase the risk of skin burns during sonographically guided HIFU ablation.

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Condition tags

adenomyosis

MeSH descriptors

Abdomen High-Intensity Focused Ultrasound Ablation Leiomyoma Lipectomy Ultrasonography, Interventional Uterine Neoplasms Abdomen Adenomyosis Adult Female Humans Leiomyoma Leiomyoma Treatment Outcome Uterine Neoplasms Uterine Neoplasms

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References (15)

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