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[Sonographically guided vascular sclerosation: new method of myoma treatment]
Aim:
Authors present new method of myoma therapy: sonographically guided vascular sclerosation.
Material And Method:
Sclerosation was performed under color doppler sonographic visualisation. Sclerosation was performed with 96% alcohol. Study comprised of 40 patients. Group A consisted of 20 patients with sclerosation, while there were 20 patients in group B with operative therapy.
Results:
There was no difference in age, size, location, vascularisation and degeneration of uterine tumors. Indication for treatment (bleeding, pain, pressure) showed no difference. Sclerosation was intravascular in 15% and perivascular in 85% of patients. During procedure, pain was present in 20%, burning in 85% and bleeding in 15%. Procedure had to be repeated in 30%, and it was done three times in 15% of patients. There was decrease in vascularisation (in 85%), and in size (in 95% of patients) after vascular sclerosation. After sclerosation, decrease in bleeding had 75% of patients, 65% had less pain, and 80% decreased pelvic pressure. In group with operative treatment, 50% of patients had myomectomy, while 50% had hysterectomy. Higher complication rate was found in group with operative treatment (15%), comparing with sclerosation group (0). Hospitalisation was significantly shorter 1,5 days and 6,3 days, as well as ICU treatment 0 and 1,5 days, and time to return to work 3 days and 33 days, in groups A and B, respectively.
Conclusions:
Sonographically guided vascular sclerosation is safe and effective myoma treatment. It has less complications and shorter recovery time. To the best of our knowledge, this is the first report of sonographically guided vascular sclerosation.
