Effect of abdominal liposuction on sonographically guided high-intensity focused ultrasound ablation
Wen-Peng Zhao1, Jin-Yun Chen1, Wen-Zhi Chen2
1State Key Laboratory of Ultrasound Engineering in Medicine, Cofounded by Chongqing and the Ministry of Science and Technology, Chongqing Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, China (W.-P.Z., J.-Y.C., W.-Z.C.); and Clinical Center for Tumor Therapy, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China (W.-Z.C.). Dr Zhao is currently with the Department of Interventional Ultrasound, Chinese PLA General Hospital, Beijing, China.
Objectives:
The aim of this study was to evaluate the effect of abdominal liposuction on sonographically guided high-intensity focused ultrasound (HIFU) ablation.
Methods:
A total of 10 women with uterine fibroids or adenomyosis who had received abdominal liposuction were analyzed after sonographically guided HIFU ablation. Of the 10 women, 6 had a diagnosis of uterine fibroids, and 4 had a diagnosis of uterine adenomyosis. All of them had a history of a horizontal-margin split-cesarean delivery. In addition, 26 women with a history of a single horizontal-margin split-cesarean delivery who had a diagnosis of uterine fibroids or adenomyosis but had not received liposuction were analyzed together as a control group.
Results:
Of the 10 women, 1 woman with uterine fibroids developed local skin erythema after treatment; 1 women with uterine adenomyosis developed a skin burn after treatment; and the remaining women had obvious skin-burning pain during treatment. All women who had not received liposuction finished the treatment with no serious adverse events during or after treatment. The pain scores and incidence of skin-burning pain were significantly higher in the liposuction group than the control group (P= .021 and .038, respectively).
Conclusions:
Abdominal liposuction may increase the risk of skin burns during sonographically guided HIFU ablation.
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