{"id":7652,"date":"2020-08-14T10:20:21","date_gmt":"2020-08-14T08:20:21","guid":{"rendered":"http:\/\/echolaser.pl\/?p=7652"},"modified":"2020-08-14T10:20:21","modified_gmt":"2020-08-14T08:20:21","slug":"echolaser-ablation-of-multiple-uterine-leiomyomas-a-case-report","status":"publish","type":"post","link":"https:\/\/echolaser.pl\/en\/echolaser-ablation-of-multiple-uterine-leiomyomas-a-case-report\/","title":{"rendered":"EchoLaser\u00ae ablation of multiple uterine leiomyomas: a case report"},"content":{"rendered":"

Introduction<\/strong>
\nUterine leiomyomas are common benign tumors of the female genital tract, found in nearly\u00a0every fourth woman of reproductive age [1]. While leiomyomas are mostly asymptomatic, some
\nmay produce various clinical symptoms, such as abnormal menstrual bleeding, pelvic pressure symptoms or pain, infertility and obstetric complications [2]. Currently, the most suitable surgical
\noption for women with uterine leiomyomas, who want to retain their fertility, is myomectomy, whether hysteroscopic, laparoscopic or open. However, myomectomy is a relatively extensive
\nprocedure which poses a risk of various complications (uterine rupture, bleeding, incomplete resection, etc.) and its effects on reproductive function remain controversial.<\/p>\n

EchoLaser\u00ae is a new device for ultrasound-guided micro-invasive treatments. This is the first and only laser system integrated with a navigation, planning and simulation system. EchoLaser\u00ae
\nconsists of an ultrasound probe and a multi-source laser (up to 4 sources); thanks to the incorporation of the ultrasound, the device can be used for both identification of the lesions and
\nreal-time monitoring of the correct positioning of laser fibers and the actual extent of the damage caused to the lesion.
\nBelow, we present the case of a patient with multiple uterine leiomyomas ablated with EchoLaser\u00ae. To the best of our knowledge, this is the first published report documenting the
\nsuccessful application of EchoLaser\u00ae in this indication.<\/p>\n

Case Report<\/strong>
\nA 42-year-old premenopausal woman was referred to the clinic on 30 November 2019, with multiple uterine leiomyomas found on ultrasound by a local practitioner. The patient complained
\nabout a recurrent pelvic pain without vaginal bleeding. A screening test for cervical cancer performed eight months earlier showed no abnormalities. Ultrasound examination carried out on
\nadmission revealed two intramural uterine leiomyomas with an overall size of 75 mm x 56 mm x 56 mm. Because the patient did not exclude further reproductive plans and based on the clinical and
\nultrasonographic presentation of the lesion, the woman was qualified for EchoLaser\u00ae ablation. The procedure was carried out on 18 December 2019 at EMC Clinic in Wroclaw (Poland).
\nAfter the introduction of spinal anesthesia with bupivacaine hydrochloride (Maracain Heavy 0.5%, 4 ml), the two leiomyomas were localized by the operator (Dr. Tomasz S\u0119dziak) under ultrasound
\nguidance and ablated with two long fibers of EchoLaser\u00ae (1,600 J each). The entire procedure lasted 30 minutes. Neither bleeding nor other periprocedural complications were recorded.<\/p>\n

Developed by\u00a0DMSc Tomasz S\u0119dziak<\/p>\n","protected":false},"excerpt":{"rendered":"

Introduction Uterine leiomyomas are common benign tumors of the female genital tract, found in nearly\u00a0every fourth woman of reproductive age [1]. While leiomyomas are mostly asymptomatic, some may produce various clinical symptoms, such as abnormal menstrual bleeding, pelvic pressure symptoms or pain, infertility and obstetric complications [2]. Currently, the most suitable surgical option for women […]<\/p>\n","protected":false},"author":13,"featured_media":7631,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6],"tags":[131,15,132],"yoast_head":"\nEchoLaser\u00ae ablation of multiple uterine leiomyomas: a case report - Echolaser<\/title>\n<meta name=\"description\" content=\"EchoLaser\u00ae ablation of multiple uterine leiomyomas: a case report - Echolaser\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/echolaser.pl\/en\/echolaser-ablation-of-multiple-uterine-leiomyomas-a-case-report\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"EchoLaser\u00ae ablation of multiple uterine leiomyomas: a case report - Echolaser\" \/>\n<meta property=\"og:description\" content=\"EchoLaser\u00ae ablation of multiple uterine leiomyomas: a case report - 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