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Yasushi Kanaoka
In: Journal of Microwave Surgery · 2004 · vol. 22 , pp. 27–30 · doi:10.3380/jmicrowavesurg.22.27 · W4238218936
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Microwave coagulation therapy, initially used for hepatomas, has resurfaced for gynecological applications including endometrial ablation for menorrhagia, myoma-related uterine distortion, hyperplasia, and early endometrial carcinoma.

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This review examines the evolution of microwave tissue coagulation therapy in gynecology, tracing its history from early applications in hepatoma treatment and tubal procedures to its modern use in endometrial ablation. The authors highlight that the technique serves as a minimally invasive alternative to hysterectomy for managing menorrhagia, particularly when caused by structural abnormalities such as uterine fibroids and adenomyosis. Additionally, the scope of the therapy has expanded to include conditions like atypical endometrial hyperplasia and early-stage endometrial carcinoma. Relevance to endometriosis: listed as one indication for microwave ablation alongside adenomyosis, though the paper's main focus is uterine fibroids and endometrial pathology.

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Abstract

Since microwave tissue coagulator became commercially available in 1982, it has been widely used for treating hepatomas. Some gynecologists did use the apparatus in laparoscopic salpingectomy for tubal pregnancy, tubal cautery for sterilization, and hemostasis during biopsies of the ovary and commented on its usability. However, gynecologists effectively forgot about microwave coagulation therapy until a 1995 report of microwave endometrial ablation for menorrhagia. Microwave coagulation therapy or microwave ablation therapy has gained recognition as a minimally invasive alternative to hysterectomy for menorrhagia, and recently a curved microwave applicator extended its indication. Menorrhagia in an enlarged distorted uterine cavity caused by myomas and adenomyosis is treatable by microwaves. In addition, atypical endometrial hyperplasia and early endometrial carcinoma are now within the scope of microwave ablation therapy.
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総説／子宮筋腫・腺筋症 婦人科領域におけるマイクロ波凝固療法の展開 2004 年 22 巻 p. 27-30 詳細 抄録 Since microwave tissue coagulator became commercially available in 1982, it has been widely used for treating hepatomas. Some gynecologists did use the apparatus in laparoscopic salpingectomy for tubal pregnancy, tubal cautery for sterilization, and hemostasis during biopsies of the ovary and commented on its usability. However, gynecologists effectively forgot about microwave coagulation therapy until a 1995 report of microwave endometrial ablation for menorrhagia. Microwave coagulation therapy or microwave ablation therapy has gained recognition as a minimally invasive alternative to hysterectomy for menorrhagia, and recently a curved microwave applicator extended its indication. Menorrhagia in an enlarged distorted uterine cavity caused by myomas and adenomyosis is treatable by microwaves. In addition, atypical endometrial hyperplasia and early endometrial carcinoma are now within the scope of microwave ablation therapy. © 2004 特定非営利活動法人 Microwave Surgery研究会

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adenomyosis

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