Percutaneous microwave ablation with artificial ascites for symptomatic uterine adenomyosis: initial experience

Ning Hai, Jing Zhang, Ruifang Xu, Zhi-Yu Han, Zhiyu Han, Fang Yi Liu
International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2017 · vol. 33(6) , pp. 646–652 · doi:10.1080/02656736.2017.1285444 · PMID:28118773 · W2580889024
article OA: bronze CC0 ⤵ 9 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Ultrasound-guided percutaneous microwave ablation with artificial ascites was feasible, safe, and improved antenna access for treating adenomyosis, leading to significant symptom improvement at three months.

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Abstract

PURPOSE: To evaluate the feasibility, safety and technical efficacy of ultrasound-guided percutaneous microwave ablation with artificial ascites for adenomyosis. MATERIALS AND METHODS: Between May 2015 and May 2016, a total of 25 patients with symptomatic adenomyosis who underwent ultrasound-guided percutaneous microwave ablation with artificial ascites were included in this retrospective study. A matching cohort of 50 patients underwent ultrasound-guided percutaneous microwave ablation without artificial ascites as controls. The technical efficacy, complications and short-term treatment effectiveness were assessed and compared with the controls. RESULTS: Artificial ascites was successfully achieved in all of the 25 patients with the administration of a median of 550 mL (range, 250-1200 mL) of solution. There was substantial improvement in achieving a better antenna path in 100% (20/20) of the cases with a poor antenna path. The complete separation was achieved in 23 of 25 patients. The mean ablation time was 26.5 ± 7.3 min and the median non-perfusion volume ratio was 76% which was similar to the control group (p > .05). No serious complications were observed. Patient pain scores for dysmenorrhoea showed a statistically significant decline from the baseline of 6.71 ± 0.96 to 2.92 ± 0.79 and the symptom severity score declined statistically significantly from 21.8 ± 5.5 to 16.4 ± 4.8 at 3 months follow-up. CONCLUSIONS: Percutaneous microwave ablation with artificial ascites is feasible, safe and can be effective in improving access for treatment of adenomyosis.

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Condition tags

adenomyosisdysmenorrhea

MeSH descriptors

Ablation Techniques Adenomyosis Adenomyosis Microwaves Adenomyosis Adult Ascites Female Humans Middle Aged Treatment Outcome Ultrasonography

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