High-Intensity Focused Ultrasound in the Treatment of Abdominal Wall Endometriosis

Shi S, Suhua Shi, Ni G, Guantai Ni, Li Ling, Ling L, Ding H, Huafeng Ding, Yihui Zhou, Zhou Y, Ding Z, Zhimin Ding
Journal of Minimally Invasive Gynecology · 2019 · vol. 27(3) , pp. 704–711 · doi:10.1016/j.jmig.2019.06.012 · PMID:31255787 · W2955659150
Other OA: closed CC0 ⤵ 10 in-corpus citations
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This study investigated the efficacy and safety of high-intensity focused ultrasound (HIFU) for treating abdominal wall endometriosis.

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Abstract

STUDY OBJECTIVE: To evaluate high-intensity focused ultrasound (HIFU) ablation therapy for abdominal wall endometriosis (AWE). DESIGN: A retrospective study. SETTING: Gynecologic department of a teaching hospital in China. PATIENTS: Thirty patients with AWE were treated from May 2013 to December 2015. INTERVENTIONS: Thirteen patients were treated with HIFU ablation and 17 patients with surgical resection. MEASUREMENTS AND MAIN RESULTS: Color Doppler ultrasonography and magnetic resonance imaging were used to observe the lesions before and after treatment. In addition, recovery time, complications, and adverse reactions of the 2 groups were compared. Menstrual pain was relieved after treatment in all 30 patients. After treatment, the lesions in patients who underwent HIFU ablation decreased gradually, and there was no recurrence. Symptoms recurred in 1 patient in the surgery group 12 months after surgery. The post-treatment hospital length of stay of the HIFU ablation group (1.00 ± 0 days) was significantly shorter than that of the surgical group (5.23 ± 1.24 days; p <.001). The incidence of fever (0% vs 11.8%; p = .049) and complications of the urinary system (7.7% vs 17.6%; p = .043) in the HIFU ablation group were significantly lower than that of the surgical group. CONCLUSIONS: HIFU ablation therapy is a promising treatment for AWE, and further study is warranted.

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Condition tags

dysmenorrheaendometriosis

MeSH descriptors

Abdominal Wall Endometriosis High-Intensity Focused Ultrasound Ablation High-Intensity Focused Ultrasound Ablation High-Intensity Focused Ultrasound Ablation High-Intensity Focused Ultrasound Ablation Peritoneal Diseases Abdominal Wall Abdominal Wall Abdominal Wall Adult Adult China China Dysmenorrhea Dysmenorrhea Dysmenorrhea Dysmenorrhea Dysmenorrhea Endometriosis

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (28)

Cited by (9)

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License: CC0 · commercial use OK