【Objectives】The aim of the study is to evaluate the safety and effectiveness of microwave endometrial ablation (MEA) in women with nodular adenomyosis for office-based gynecology.
【Methods】Twelve outpatients (average age:46.5) who hoped to avoid hysterectomy underwent MEA with transcervical microwave adenomyolysis (TCMAM) for the treatment of menorrhagia due to nodular adenomyosis whose maximum diameter was 53.4±11.3mm. 【Results】The mean operation time was 20.1±4.9 min. The blood loss during a monthly menstrual period decreased to 1.4 (0~5) on VAS score (score before operation =10). The VAS score of dysmenorrhea decreased to 1.1 (0~4) . The average VAS score regarding feelings of satisfaction for MEA was 9.7(full score =10).
【Conclusion】MEA with TCMAM is feasible for treatment of both menorrhagia and dysmenorrhea due to nodular adenomyosis in office day surgical procedure.
In a laparoscopic hepatectomy, it is important to control bleeding from liver parenchyma. Microwave pre-coagulation is an effective technique to achieve good hemostasis during hepatic resection. On the other hand, there is a suspicious risk of causing bile leakage and bile duct strangulation due to the biliary damage after microwave coagulation. We report a case of hepatic biloma after laparoscopic partial hepatic resection for hepatocellular carcinoma using microwave pre-coagulation.