New surgical approach to treat fibroids and solid tumors – Thermal and nonthermal ablation

There is a trend toward more minimally invasive treatment for symptomatic uterine fibroids. They are image-guided ablation surgery with focused ultrasound, microwave, and radiofrequency ablations that are becoming tested and used in some medical centers or hospitals. Nevertheless, these image-guided...

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Main Author: Wu- Shun Felix Wong
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Gynecology and Minimally Invasive Therapy
Subjects:
Online Access:http://www.e-gmit.com/article.asp?issn=2213-3070;year=2023;volume=12;issue=4;spage=191;epage=194;aulast=Wong
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author Wu- Shun Felix Wong
author_facet Wu- Shun Felix Wong
author_sort Wu- Shun Felix Wong
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description There is a trend toward more minimally invasive treatment for symptomatic uterine fibroids. They are image-guided ablation surgery with focused ultrasound, microwave, and radiofrequency ablations that are becoming tested and used in some medical centers or hospitals. Nevertheless, these image-guided ablation surgeries involve thermal ablation to the fibroids, which might lead to thermal injury to the surrounding tissues, for example, nerve injury, vessel injury, and skin burn due to heat diffusion. A new technology – irreversible electroporation (IRE) – is a new paradigm for treating solid tumors. This nonthermal ablation process does not induce high temperatures when treating cancers or solid tumors. The IRE treatment may soon be used for treating fibroids or other solid tumors. In a few clinical trials, IRE is currently used in experimental studies for treating gynecological cancers. This paper will present the minimally invasive thermal ablation treatments for fibroids, introduce this new nonthermal IRE ablation in treating gynecological cancer, and propose its future uses in uterine fibroids.
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spelling doaj.art-4d310623e0ba47039be2544b7e5c74bb2023-10-26T06:27:50ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702023-01-0112419119410.4103/gmit.gmit_18_23New surgical approach to treat fibroids and solid tumors – Thermal and nonthermal ablationWu- Shun Felix WongThere is a trend toward more minimally invasive treatment for symptomatic uterine fibroids. They are image-guided ablation surgery with focused ultrasound, microwave, and radiofrequency ablations that are becoming tested and used in some medical centers or hospitals. Nevertheless, these image-guided ablation surgeries involve thermal ablation to the fibroids, which might lead to thermal injury to the surrounding tissues, for example, nerve injury, vessel injury, and skin burn due to heat diffusion. A new technology – irreversible electroporation (IRE) – is a new paradigm for treating solid tumors. This nonthermal ablation process does not induce high temperatures when treating cancers or solid tumors. The IRE treatment may soon be used for treating fibroids or other solid tumors. In a few clinical trials, IRE is currently used in experimental studies for treating gynecological cancers. This paper will present the minimally invasive thermal ablation treatments for fibroids, introduce this new nonthermal IRE ablation in treating gynecological cancer, and propose its future uses in uterine fibroids.http://www.e-gmit.com/article.asp?issn=2213-3070;year=2023;volume=12;issue=4;spage=191;epage=194;aulast=Wongfibroidsfocused ultrasound ablationirreversible electroporationmicrowave ablationminimally invasive surgeryradiofrequency ablation
spellingShingle Wu- Shun Felix Wong
New surgical approach to treat fibroids and solid tumors – Thermal and nonthermal ablation
Gynecology and Minimally Invasive Therapy
fibroids
focused ultrasound ablation
irreversible electroporation
microwave ablation
minimally invasive surgery
radiofrequency ablation
title New surgical approach to treat fibroids and solid tumors – Thermal and nonthermal ablation
title_full New surgical approach to treat fibroids and solid tumors – Thermal and nonthermal ablation
title_fullStr New surgical approach to treat fibroids and solid tumors – Thermal and nonthermal ablation
title_full_unstemmed New surgical approach to treat fibroids and solid tumors – Thermal and nonthermal ablation
title_short New surgical approach to treat fibroids and solid tumors – Thermal and nonthermal ablation
title_sort new surgical approach to treat fibroids and solid tumors thermal and nonthermal ablation
topic fibroids
focused ultrasound ablation
irreversible electroporation
microwave ablation
minimally invasive surgery
radiofrequency ablation
url http://www.e-gmit.com/article.asp?issn=2213-3070;year=2023;volume=12;issue=4;spage=191;epage=194;aulast=Wong
work_keys_str_mv AT wushunfelixwong newsurgicalapproachtotreatfibroidsandsolidtumorsthermalandnonthermalablation