Combined treatment for big submucosal myoma with High Intensity Focused Ultrasound and hysteroscopic resection

Wen-Liang Liao; Tsung-Ho Ying; Huang-Ping Shen; Pei-Ju Wu

Taiwanese Journal of Obstetrics & Gynecology (Nov 2019)

Combined treatment for big submucosal myoma with High Intensity Focused Ultrasound and hysteroscopic resection

Wen-Liang Liao,
Tsung-Ho Ying,
Huang-Ping Shen,
Pei-Ju Wu

Affiliations

Wen-Liang Liao: Department of Obstetrics and Gynecology, Chung Shan Medical University, Hospital, 1. No. 110, Sec. 1, Jianguo N. Rd., South Dist., Taichung City 402, Taiwan, ROC; School of Medicine, Chung Shan Medical University, 1. No. 110, Sec. 1, Jianguo N. Rd., South Dist., Taichung City 402, Taiwan, ROC
Tsung-Ho Ying: Department of Obstetrics and Gynecology, Chung Shan Medical University, Hospital, 1. No. 110, Sec. 1, Jianguo N. Rd., South Dist., Taichung City 402, Taiwan, ROC; School of Medicine, Chung Shan Medical University, 1. No. 110, Sec. 1, Jianguo N. Rd., South Dist., Taichung City 402, Taiwan, ROC
Huang-Ping Shen: Department of Obstetrics and Gynecology, Chung Shan Medical University, Hospital, 1. No. 110, Sec. 1, Jianguo N. Rd., South Dist., Taichung City 402, Taiwan, ROC; School of Medicine, Chung Shan Medical University, 1. No. 110, Sec. 1, Jianguo N. Rd., South Dist., Taichung City 402, Taiwan, ROC; Institute of Medicine, Chung Shan Medical University, Taiwan, ROC
Pei-Ju Wu: Department of Obstetrics and Gynecology, Chung Shan Medical University, Hospital, 1. No. 110, Sec. 1, Jianguo N. Rd., South Dist., Taichung City 402, Taiwan, ROC; School of Medicine, Chung Shan Medical University, 1. No. 110, Sec. 1, Jianguo N. Rd., South Dist., Taichung City 402, Taiwan, ROC; Institute of Medicine, Chung Shan Medical University, Taiwan, ROC; Corresponding author. Institute of Medicine, Chung Shan Medical University, Department of Obstetrics and Gynecology, Chung Shan Medical University, Hospital, 1. No. 110, Sec. 1, Jianguo N. Rd., South Dist., Taichung City 402, Taiwan, ROC. Fax: +886 4 24738493.

Journal volume & issue: Vol. 58, no. 6
pp. 888 – 890

Abstract

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Objective: Big submucosal myoma often causes heavy menstrual bleeding and are complicated in hysterscopic surgery. High Intensity Focused Ultrasound (HIFU), is a method for myoma ablation therapy, which may benefit on size reduction, and assist following hysterscopic myomectomy. Case report: Two cases, case one,. 44-year-old female with 3.8 cm submucosal myoma, STEPW (Size, Topography, Extension, Penetration and Wall) score 6 and case 2. 48-year-old female, with 6.0 cm submucosal myoma, STEPW score 8, both received HIFU treatment before hysterscopic myomectomy was done. The myomas reduced after 5 months with improvement of anemia. The following hysterscopic myomectomy shows less operative time and fewer blood loss. Conclusion: HIFU reduce size of submucosal myoma and may improve anemia after months. Less operating time and blood loss were demonstrated in the following hysterscopic myomectomy. For well selected patients, combined treatment with HIFU and hysteroscopic resection may decrease complication rate. Keywords: High Intensity Focused Ultrasound (HIFU), Hysteroscopic myomectomy, Submucosal myoma

Published in Taiwanese Journal of Obstetrics & Gynecology

ISSN: 1028-4559 (Print)
Publisher: Elsevier
Country of publisher: Taiwan, Province of China
LCC subjects: Medicine: Gynecology and obstetrics
Website: http://www.journals.elsevier.com/taiwanese-journal-of-obstetrics-and-gynecology/

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