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Laparoscopic radiofrequency volumetric thermal ablation (Acessa System; Halt Medical Inc.) for
treatment of uterine fibroids |
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Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Laparoscopic radiofrequency volumetric thermal ablation (Acessa System; Halt Medical Inc.) for
treatment of uterine fibroids. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication. 2014 Authors' conclusions Uterine fibroids (also called leiomyomata or myomas) are benign tumors of the myometrium, the smooth muscle layer of the uterus. In the sixth decade of life, the prevalence of fibroids is almost 70% in Caucasian women and 80% in black women. Fibroids can produce pain, pressure, frequent and heavy bleeding, infertility, urinary frequency, dyspareunia (pain during intercourse), and miscarriage. In the United States, fibroids are the most common indication for hysterectomy. Treatments for symptomatic fibroids include medical management, hysterectomy, myomectomy (removal of the fibroids while leaving the uterus in situ), radiofrequency ablation (RFA), uterine artery embolization (UAE), laser ablation, cryoablation, and image-guided thermal ablation using ultrasonography or magnetic resonance imaging (MRI). Medical treatments provide only short-term relief. Myomectomy may be performed as an open procedure or using a hysteroscope or laparoscope, depending on the location of the fibroids producing symptoms. Complications of treatments for fibroids include hemorrhage, abdominal adhesions, and interruption of uterine integrity. Thermal therapies for fibroids, often performed under imaging guidance, ablate fibroids by heating them rapidly, which creates frictional heat and areas of necrosis (cellular death) within the fibroid, resulting in reduced volume of the uterus and fibroids and symptomatic relief. Volumetric, image-guided ablation spares surrounding tissue and minimizes the number of required ablations, thus reducing the possibility of adhesions, uterine injury, and bleeding. Indexing Status Subject indexing assigned by CRD MeSH Female; Humans; Surgery, Computer-Assisted; Thermography; Uterine Neoplasms Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218 Email: hayesinfo@hayesinc.com AccessionNumber 32014001213 Date abstract record published 29/10/2014 |
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