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

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

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 cas...

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Main Authors: Wen-Liang Liao, Tsung-Ho Ying, Huang-Ping Shen, Pei-Ju Wu
Format: Article
Language:English
Published: Elsevier 2019-11-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Online Access:http://www.sciencedirect.com/science/article/pii/S1028455919302360
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spelling doaj-0bc321aaa0ad490b91442d407f007def2020-11-25T01:50:10ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592019-11-01586888890Combined treatment for big submucosal myoma with High Intensity Focused Ultrasound and hysteroscopic resectionWen-Liang Liao0Tsung-Ho Ying1Huang-Ping Shen2Pei-Ju Wu3Department 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, ROCDepartment 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, ROCDepartment 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, ROCDepartment 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.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 myomahttp://www.sciencedirect.com/science/article/pii/S1028455919302360
collection DOAJ
language English
format Article
sources DOAJ
author Wen-Liang Liao
Tsung-Ho Ying
Huang-Ping Shen
Pei-Ju Wu
spellingShingle Wen-Liang Liao
Tsung-Ho Ying
Huang-Ping Shen
Pei-Ju Wu
Combined treatment for big submucosal myoma with High Intensity Focused Ultrasound and hysteroscopic resection
Taiwanese Journal of Obstetrics & Gynecology
author_facet Wen-Liang Liao
Tsung-Ho Ying
Huang-Ping Shen
Pei-Ju Wu
author_sort Wen-Liang Liao
title Combined treatment for big submucosal myoma with High Intensity Focused Ultrasound and hysteroscopic resection
title_short Combined treatment for big submucosal myoma with High Intensity Focused Ultrasound and hysteroscopic resection
title_full Combined treatment for big submucosal myoma with High Intensity Focused Ultrasound and hysteroscopic resection
title_fullStr Combined treatment for big submucosal myoma with High Intensity Focused Ultrasound and hysteroscopic resection
title_full_unstemmed Combined treatment for big submucosal myoma with High Intensity Focused Ultrasound and hysteroscopic resection
title_sort combined treatment for big submucosal myoma with high intensity focused ultrasound and hysteroscopic resection
publisher Elsevier
series Taiwanese Journal of Obstetrics & Gynecology
issn 1028-4559
publishDate 2019-11-01
description 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
url http://www.sciencedirect.com/science/article/pii/S1028455919302360
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AT huangpingshen combinedtreatmentforbigsubmucosalmyomawithhighintensityfocusedultrasoundandhysteroscopicresection
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