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Use of ultrasound transmission gel to shield the sacrum in patients who underwent magnetic resonance-guided focus ultrasound surgery (MRgFUS) for uterine fibroids

Author: 
Sara Mascaretti, Francesco Arrigoni, Carlo Masciocchi, Giulio Mascaretti and Eva Fascetti
Subject Area: 
Life Sciences
Abstract: 

Background: Patients who are eligible candidates for the MRgFUS treatment for single and multiple uterine fibroids have been included thanks to the use of the shielding gel, that protects the sacrum from the heat produced by ultrasounds and it creates a bigger distance between the uterus and the last section of the sacrum. Methods: From October 2011 to June 2016, 60 patients aged between 23 and 53 suffering from single and multiple uterine fibroids sized between 1.5 and 14 cm underwent MRgFUS treatment without any inconvenience on the spinal nerves roots and bone thanks to the use of the intrarectal gel. Results: 60 patients have been treated with MRgFUS. 10% of it showed an excessive proximity to the sacrum that wouldn’t allow them to underwent the treatment and 6.5% of them showed a distance between skin and fibroids of more than 14 cm. Thanks to the intrarectal gel, these exclusion criteria have been overtaken and solved. Conclusions: This method allows an almost complete access to the MRgFUS treatment in those cases where the excessive proximity of the fibrotic growth to the vertebral column would have caused the exclusion from the protocol. Furthermore, no damage to the surrounding structures have been observed.

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