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Radiofrequency Ablation of Uterine Fibroids: a Review
1Santa Monica-UCLA Medical Center, 1250 16th Street, Santa Monica, CA 90404 USA ; Roxbury Clinic and Surgery Center, 465 N Roxbury Dr. #1001, Beverly Hills, CA 90210 USA ; Ventura Surgery Center, 1752 S Victoria Ave #A, Ventura, CA 93003 USA ; Division of Minimally Invasive Surgery, Department of OBGYN, University of California|, Los Angeles, CA USA.
Abstract:
Laparoscopic, ultrasound-guided radiofrequency ablation (RFA) is a new, FDA-cleared uterine sparing, outpatient procedure for uterine fibroids. The procedure utilizes recent technological advancements in instrumentation and imaging, allowing surgeons to treat numerous fibroids of varying size and location in a minimally invasive fashion. Early and mid-term data from multi-center clinical trials have demonstrated safety and efficacy, with resolution or improvement of symptoms and significant volume reduction. Re-intervention rates for fibroid symptoms have been low. The procedure is well tolerated with a typically uneventful and rapid recovery requiring NSAIDs only for postoperative pain. While post RFA pregnancy data are limited, the results are promising.
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