Complications of transvaginal radiofrequency ablation of fibroids: A 5-year experience

IF 1.5 Q3 OBSTETRICS & GYNECOLOGY

European Journal of Obstetrics and Gynecology and Reproductive Biology: X Pub Date : 2023-10-10 DOI:10.1016/j.eurox.2023.100244

Angel Santalla-Hernández , Mariña Naveiro-Fuentes , Rebeca Benito-Villena , Jesus Villegas-Alcazar , María Setefilla López-Criado , Ana Lara-Serrano , Jorge Fernández Parra , Juan Luis Alcázar , Irene Pelayo-Delgado

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Abstract

Introduction

Transvaginal radiofrequency ablation is a relatively noninvasive approach for the treatment of fibroids in patients who do not wish to undergo conventional surgery. Information on potential complications of this novel technique is very scarce.

Methods

Retrospective, descriptive, epidemiological study of 115 patients who underwent transvaginal radiofrequency ablation of fibroids and for whom complications were recorded.

Results

We performed 115 transvaginal radiofrequency ablation procedures, we recorded a total of 11 complications (9.6%; 95% CI, 3.8–14.8). Of these, 8 (7.0%) were classified as Clavien-Dindo type I, 1 (0.9%,) as type II, and 2 (1.7%) as type IIIb (severe). No other complications were recorded in a year follow-up.

Conclusion

Transvaginal radiofrequency ablation is a treatment option that makes it possible to treat fibroids that are difficult to manage using other techniques. Few associated complications have been described, and most of them are mild.

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经阴道射频消融治疗纤维瘤的并发症：5年经验。

引言：经阴道射频消融术是一种相对无创的方法，用于治疗不希望接受常规手术的患者的纤维瘤。关于这项新技术潜在复杂性的信息非常匮乏。方法：回顾性、描述性、流行病学研究115例接受经阴道纤维瘤射频消融术的患者，并记录其并发症。结果：我们进行了115次经阴道射频消融术，共记录了11例并发症（9.6%；95%可信区间3.8-14.8）。其中8例（7.0%）为Clavien-Dindo I型，1例（0.9%）为II型，2例（1.7%）为IIIb型（严重）。在一年的随访中没有记录到其他并发症。结论：经阴道射频消融术是一种治疗选择，可以治疗使用其他技术难以治疗的纤维瘤。很少有相关并发症被描述，而且大多数都是轻微的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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