Ultrasound‐assisted laparoscopic cryomyolysis: two‐ and three‐dimensional findings before, during and after treatment

Exacoustòs, C.; Zupi, Errico; Marconi, Daniela; Romanini, M. E.; Szabolcs, B.; Piredda, A; Arduini, Domenico

doi:10.1002/uog.1861

Cited by 19 publications

(11 citation statements)

References 36 publications

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“…Recently, less invasive surgical approaches and medical procedures have been developed, such as observation, gonadotropin-releasing hormone analogues and add-back therapy (gonadotropinreleasing hormone analogues plus estrogenprogestogen combination continuously), hysteroscopic resection of submucosal myomas, and laparoscopic myomectomy. 21,22 Other innovative conservative techniques are myolysis, cryomyolysis, 23,24 and uterine artery embolization. 21,22,25,26 When leaving the uterus and myomas in situ, it is important to first exclude LMS.…”

Section: Discussionmentioning

confidence: 99%

Can gray‐scale and color Doppler sonography differentiate between uterine leiomyosarcoma and leiomyoma?

Exacoustòs

Romanini

Amadio

et al. 2007

J of Clinical Ultrasound

117

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Section: Discussionmentioning

confidence: 99%

Can gray‐scale and color Doppler sonography differentiate between uterine leiomyosarcoma and leiomyoma?

Exacoustòs

Romanini

Amadio

et al. 2007

J of Clinical Ultrasound

117

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“…Consequently, accurate preoperative imaging of myoma size, location and vascularization is crucial The best means by which such imaging is accomplished is by 3D power Doppler, that provides an accurate assessment of fibroid vascularization thereby permitting the identification of the areas of the fibroid that are more vascularized and therefore more vulnerable to cryotherapy. 38 Cryomyolysis is still an experimental procedure. The available published data are insufficient to evaluate the effectiveness and safety of the procedure, because only 3 series have been published, including our study (67-70).…”

Section: Cryomyolysismentioning

confidence: 99%

Myolysis of Uterine Fibroids: Is There a Role?

Zupi

Sbracia

Marconi

et al. 2006

Clinical Obstetrics &Amp; Gynecology

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Myolysis is among the new procedures under development for the treatment of symptoms related to uterine leiomyoma. The procedure targets the destruction of fibroids using one of a number of focused energy delivery systems including those based upon radiofrequency electricity, supercooled cryoprobes, and, most recently, focused ultrasound monitored by real time magnetic resonance imaging. For thermomyolysis and cryomyolysis, delivery of the energy requires access to the tissue by laparoscopy, and, in some instances, hysteroscopy. For focused ultrasound, the patient is detached from the energy source, which is delivered by an array of external beams. Clinical evaluation has been confined to case series, but it is evident that the approach results in a variable degree of reduction of the total uterine mass, and, usually, a reduction in uterine bleeding. Clearly, longer term appropriately designed comparative trials are required that evaluate and compare myolysis with myomectomy, uterine artery embolization, and hysterectomy, to name a few.

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“…Exacoustos evaluated and compared the role of 2D and 3D ultrasound before, during and after laparoscopic cryomyolysis in 10 women with uterine fibroid. 38 The authors used a semi-quantitative assessment of blood flow at the level of the fibroid capsule and inside the tumor. This study found that both, 2D and 3D power Doppler ultrasound was useful to assess fibroid vascularization but 3D power Doppler were best to evaluate such an evaluation.…”

Section: Uterine Leiomyomas and Sarcomasmentioning

confidence: 99%

Three-dimensional Static Ultrasound and 3D Power Doppler in Gynecologic Pelvic Tumors

Alcázar¹

2013

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Gynecological tumors are a frequent clinical problem. Accurate diagnosis is essential for an adequate clinical management. Currently, 2D ultrasound is considered as a first line imaging technique for diagnosis and for discriminating benign from malignant lesions. However, some limitations of this technique exist. Three-dimensional is a relatively new technique that allows some unique ways for assessing gynecological tumors by ultrasound. In this article, I shall review current evidence about the use of three-dimensional ultrasound for assessing gynecological tumors.

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Ultrasound‐assisted laparoscopic cryomyolysis: two‐ and three‐dimensional findings before, during and after treatment

Abstract: Objective To investigate the role of two-and threedimensional (2D and 3D)

Cited by 19 publications

References 36 publications

Can gray‐scale and color Doppler sonography differentiate between uterine leiomyosarcoma and leiomyoma?

Can gray‐scale and color Doppler sonography differentiate between uterine leiomyosarcoma and leiomyoma?

Myolysis of Uterine Fibroids: Is There a Role?

Three-dimensional Static Ultrasound and 3D Power Doppler in Gynecologic Pelvic Tumors

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