Focused Ultrasound Ablation for Other Gynecological Related Diseases

In: Surgical Techniques of Focused Ultrasound Ablation in Benign Uterine Diseases · 2023 · pp. 235–245 · doi:10.1007/978-981-19-7180-8_6 · W4360982291
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This chapter discusses focused ultrasound ablation as a therapeutic option for abdominal wall endometriosis and cesarean scar pregnancy, detailing techniques, parameters, and outcomes.

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This chapter describes the use of focused ultrasound ablation, monitored with contrast-enhanced ultrasonography and magnetic resonance imaging, to treat abdominal wall endometriosis and to assess therapeutic techniques, focused ultrasound parameters, treatment outcomes, and follow-up. It reports that focused ultrasound can ablate abdominal wall endometriosis, which is noted as a rare extrapelvic disease often associated with obstetric or gynecologic surgery, with an emphasis on potentially lower adverse-event incidence. The chapter also presents focused ultrasound strategies, parameters, and treatment outcomes for cesarean scar pregnancy, including cases treated with or without subsequent curettage to ablate the lesion while addressing risks of severe hemorrhage and uterine perforation after curettage. This paper is centrally about endometriosis — it specifically discusses focused ultrasound ablation for abdominal wall endometriosis.

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Abstract Abdominal wall endometriosis, a rare extrapelvic disease, normally is related to obstetric or gynecologic surgery; however, focused ultrasound surgery may be an alternative with a lower incidence of adverse events. Contrast-enhanced ultrasonography and magnetic resonance imaging were used to assess and observe abdominal wall endometriosis before and after focused ultrasound ablation. The therapeutic techniques, focused ultrasound parameters, and treatment outcomes are revealed, and the treatment outcomes with follow-up are shown and discussed. Cesarean scar pregnancy, which is the gestational sac implanted in a cesarean section scar, has a high risk of severe hemorrhage and uterine perforation after curettage. The therapeutic strategies, focused ultrasound parameters, and treatment outcomes are revealed to ablate the lesion without or with subsequent curettage. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. About this chapter Cite this chapter Zhu, X., Xu, Y., Xue, M., Wong, F. (2023). Focused Ultrasound Ablation for Other Gynecological Related Diseases. In: Xu, Y., Yang, L., Wong, F. (eds) Surgical Techniques of Focused Ultrasound Ablation in Benign Uterine Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-19-7180-8_6 Download citation DOI: https://doi.org/10.1007/978-981-19-7180-8_6 Published: Publisher Name: Springer, Singapore Print ISBN: 978-981-19-7179-2 Online ISBN: 978-981-19-7180-8 eBook Packages: MedicineMedicine (R0)

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