Focused ultrasound surgery in gynecology : introduction and application / / Felix Wong, Lian Zhang, Zhibiao Wang

• Record Nr.: UNINA9910483139103321
• Autore: Wong Felix
• Pubbl/distr/stampa: Singapore : , : Springer, , [2021]; ©2021
• ISBN: 981-16-0939-X
• Descrizione fisica: 1 online resource (114 pages) : illustrations
• Disciplina: 300
• Soggetti: Gynecology; Cirurgia obstètrica; Ultrasons en medicina; Llibres electrònics
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Nota di bibliografia: Includes bibliographical references.
• Nota di contenuto: Intro -- Foreword -- Preface -- Declaration of Interest -- Contents -- About the Authors -- Abbreviations -- 1: An Introduction -- 1.1 The HAIFU Knife® -- 1.2 The "HAIFU Knife®" -- 1.2.1 Other Focused Ultrasound Equipment Systems in the Market -- 1.2.2 Ultrasound-Guided (USg) HIFU Systems -- 1.3 MRgHIFU Systems -- 1.4 Focused Ultrasound Hyperthermia Therapy and High Intensity Focused Ultrasound Ablation -- 1.5 Conclusion -- References -- 2: Sedation and Analgesia for HIFU Ablation -- 2.1 The Choice of Drugs for Sedation and Analgesia -- 2.2 First-Line Drugs -- 2.3 Second-Line Drugs -- 2.4 Other Auxiliary Drugs Should Be Available -- 2.4.1 Sedation and Analgesia Protocol for HIFU Ablation -- 2.5 Midazolam and Fentanyl Sedation Protocol -- 2.6 Other Sedation and Analgesic Regimes: Dexmedetomidine and Remifentanil Sedation Protocol -- 2.7 Monitoring During HIFU Surgery Under Sedation -- 2.8 Treatment of Complications -- 2.8.1 Respiratory Depression -- 2.8.2 Muscle Stiffness -- 2.9 Factors Affecting the Effects of Sedation and Analgesia -- References -- 3: Ultrasound and MRI Imaging of Uterine Fibroids and Adenomyosis -- 3.1 Imaging for Uterine Fibroids -- 3.1.1 Ultrasound Imaging -- 3.2 Locations of Fibroids -- 3.2.1 MRI Imaging ; -- 3.3 Uterine Adenomyosis -- 3.4 Transvaginal Ultrasound Appearances of Adenomyosis -- 3.5 MRI Appearances of Adenomyosis -- 3.6 Leiomyosarcoma and Endometrial Stromal Sarcoma-MRI Features -- References -- 4: Uterine Fibroids and HIFU Ablation -- 4.1 Symptoms of Uterine Fibroids -- 4.2 Indications for Treatment -- 4.3 Investigative Methods -- 4.4 Treatments -- 4.5 HIFU Treatment -- 4.6 The USgHIFU Ablation Procedure -- 4.7 The Indications for HIFU Treatment -- 4.8 The Contraindications for HIFU Ablation -- 4.9 Preparation Before HIFU Ablation -- 4.9.1 Simulation Test.; 4.10 Other Preparations -- 4.11 HIFU Ablation -- 4.12 Factors Influencing HIFU Effectiveness -- 4.13 The Types and Locations of Fibroids that Affect HIFU Ablation -- 4.14 Assessment of the Effectiveness of the Ablation at the End of HIFU Ablation Procedure -- 4.15 Post-HIFU Ablation Care -- 4.16 Postoperative Follow-up -- 4.17 Results of HIFU Ablation on Follow-up -- 4.17.1 The Non-perfused Volume Ratio -- 4.17.2 The Volume Reduction After HIFU Ablation -- 4.18 Other Issues of Fibroid Ablation -- 4.19 Recurrence of Fibroids -- 4.20 Pregnancy After HIFU Ablation -- References -- 5: Adenomyosis and HIFU Ablation -- 5.1 The Symptoms of Adenomyosis -- 5.2 Treatment of Adenomyosis -- 5.2.1 Drug Treatment -- 5.2.1.1 Mirena (LNG-IUS) -- 5.2.1.2 Gonadotropin-Releasing Hormone Agonist (GnRH-a) -- 5.2.1.3 Oral Contraceptives -- 5.2.2 Surgical Treatment -- 5.2.3 Bilateral Uterine Artery Embolization (UAE) -- 5.2.4 High Intensity Focused Ultrasound (HIFU) Therapy -- 5.3 Factors Influencing HIFU Effectiveness for Adenomyosis Treatment are Listed as Follow -- 5.4 Advantages of HIFU Treatment for Adenomyosis -- 5.5 Pregnancy -- References -- 6: Complications of HIFU Ablation -- 6.1 Fever -- 6.2 Pain -- 6.3 Skin Burn Injury -- 6.4 Urinary Tract Injury -- 6.5 Bowel Injury -- 6.6 Vaginal Bleeding or Discharge -- 6.7 Other Rare Complications or Those Not Reported -- References -- 7: Fertility and Pregnancy After HIFU Ablation -- 7.1 The Reproductive Impact After HIFU Ablation for Uterine Fibroids -- 7.1.1 HIFU Impact on Ovarian Functions -- 7.1.2 HIFU Impact on Uterine Function -- 7.1.3 Risks of Miscarriage After HIFU Ablation -- 7.1.4 The Cesarean Section Rate After HIFU Ablation -- 7.2 The Reproductive Impact After HIFU Ablation for Adenomyosis -- 7.3 Conclusion -- References -- 8: Other Issues of HIFU Treatment.; 8.1 MRI-Guided and Ultrasound-Guided HIFU Ablation -- 8.2 HIFU Ablation and HIFU Hyperthermia -- 8.3 Malignant Fibroids -- 8.4 Multiple Fibroids -- 8.5 The Cost of HIFU Treatment -- References -- 9: Other HIFU Ablation Applications in Gynecology and Related to Obstetrics -- 9.1 Abnormal Placenta Attachment-Placenta Accreta -- 9.2 Cesarean Scar Pregnancy (CSP) -- 9.3 Abdominal Wall Endometriosis -- References.