The Asian perspective on HIFU
1Department of Obstetrics and Gynecology, Gleneagles Hospital Ltd, Singapore, Singapore.
Summary
High intensity focused ultrasound (HIFU) offers a noninvasive treatment for gynecological conditions like uterine fibroids and adenomyosis. This advanced technology promotes less pain and minimal complications by precisely destroying diseased tissue.
Area of Science:
- Gynecological Surgery
- Medical Technology
- Oncology
Background:
- Minimally invasive surgery (MIS) has revolutionized gynecology, moving towards noninvasive treatments.
- High intensity focused ultrasound (HIFU) represents a significant advancement in noninvasive surgical technology.
- Uterine fibroids and adenomyosis are common gynecological conditions affecting reproductive-aged women, causing significant symptoms and potential complications.
Purpose of the Study:
- To discuss the evolution of gynecological surgery from traditional methods to advanced noninvasive techniques.
- To highlight the role and benefits of High Intensity Focused Ultrasound (HIFU) in treating uterine fibroids and adenomyosis.
- To share insights on the adoption and impact of HIFU in gynecological practice, particularly in Asia.
Main Methods:
- High intensity focused ultrasound (HIFU) utilizes focused energy to thermally ablate tissue.
- The technology achieves therapeutic temperatures (>60°C) at a focal point, inducing coagulation necrosis and cavitation.
- Application focuses on the noninvasive treatment of benign uterine conditions like fibroids and adenomyosis.
Main Results:
- HIFU enables the destruction of diseased tissue while preserving healthy organs.
- This method aligns with the surgical tenets of reduced pain and minimal complications.
- Successful application in treating uterine fibroids and adenomyosis, addressing associated symptoms like heavy bleeding and pain.
Conclusions:
- High intensity focused ultrasound (HIFU) is a transformative noninvasive technology in gynecological surgery.
- It effectively treats uterine fibroids and adenomyosis, improving patient outcomes.
- HIFU represents a significant step forward in achieving less invasive and more effective gynecological treatments.
Keywords:
MRgFUSUltrasound-guided high intensity focused ultrasoundadenomyosisminimally invasive surgeryuterine fibroids

