Microwaves, as an energy device, have been used in all aspects of the medical field, and within the field of gynecology microwave therapy for uterine fibroids and adenomyosis is a new treatment. In the past, the traditional sense of treatment was surgical removal of fibroids or lesions, usually through laparoscopic or open surgery. The process of microwave therapy is to take a needle as thick as a pencil lead and directly puncture it through the skin of the abdominal wall to the inside of the fibroid or adenomyosis lesion, and then release the energy to heat and destroy the tumor in the target area, as in the case of high-intensity focused ultrasound therapy. Once the energy accumulated in the target area reaches above 65 degrees, the tissue in the target area will be necrotic and the leiomyosarcoma will be destroyed and will not grow after that. What kind of people is it suitable for? Uterine fibroids, adenomyosis Pre-operative MRI evaluation is required, but as long as the microwave puncture needle access is safe during the treatment, microwave treatment can be performed. Will there be any pain during the treatment】 If anesthesia is not used, the puncture process will be painful, so we usually need to carry out the treatment under intravenous analgesic anesthesia. After a good night’s sleep, the procedure is usually over and there is no serious pain afterward. What kind of advantages] Different from the traditional laparoscopic surgery, the general treatment process is very traumatic, almost no scars, very little blood loss during the operation, does not affect the normal work and life after the operation, usually only need to be hospitalized for 1 day, 3 days after the operation, normal work will not be a problem. The advantage of comparing with magnetic wave is that the energy release is not affected by the signal of leiomyosarcoma or adenomyosis, even the signal leiomyosarcoma of T2 high echo can be treated. In addition, in some cases ultrasound can be affected by scarring of the tissue leading to scattering, whereas direct needle insertion to the site of the lesion avoids the effect of scarring in the pathway. Compared with the traditional laparoscopic surgery, its wound is almost negligible, bleeding is not much, and the postoperative recovery will be faster. What kind of pre-operative assessment is needed? MRI scanning + enhancement is very important to understand the nature, location and size of fibroids, so to perform microwave treatment, MRI assessment needs to be considered before treatment. If the MRI assessment is suitable for microwave therapy, the next step is to perform some routine pre-operative tests and laboratory tests, which are focused on assessing the safety of anesthesia. Preoperative bowel preparation is also required. What kind of disadvantages】 The lack of pathology is a disadvantage of microwave therapy, but you can rest assured that the vast majority of fibroids and adenomyosis are benign diseases, every 6,000 fibroids to meet a uterine sarcoma, preoperative enhancement of the MRI will probably for fibroids is malignant or not will also have a rough judgment. If some patients are really not able to determine the benign or malignant nature of the lesion by imaging before surgery, a pathologic specimen can also be obtained by puncture to make a definitive diagnosis. Compared with laparoscopic or open surgery to remove fibroid lesions, surgical resection is relatively more complete, while microwave therapy is the use of ablation, in order to ensure that the muscle layer outside the fibroid is not affected, in the process of treatment, there may be a residual portion of the fibroid tissue is not ablated necrosis of the possibility of postoperative recurrence of the need for re-treatment of a relatively high chance, but its non-invasive advantages to exceed the However, its non-invasive advantages outweigh the disadvantages of residual tissue, and remember that with fibroids or fibroids, as long as you keep the uterus, the possibility of recurrence exists. What kind of potential complications] In the microwave treatment process, if the energy is beyond the target area, the possibility of damage to the adjacent organs may occur, the adjacent organs are mainly intestinal tubes, bladder, nerves, but fortunately, the occurrence of complications is not a probability of events, only 1 per thousand, and once it occurs, the need for surgical repair. Currently during the treatment, we also use a temperature-controlled needle placed around the target point to monitor the surrounding tissue temperature, once the surrounding tissue temperature is too high, the operation will also be stopped in time to reduce the possibility of complications. For patients with reproductive requirements, there is no specific data on the safety of pregnancy after treatment. Theoretically, if damage to the myometrium occurs (especially to the myometrium outside the lesion), there is a risk of uterine rupture, just as in the case of a scarred uterus (the risk of uterine rupture in future pregnancies is around 5 per 100,000 in the case of scarred uterus after cesarean section), but compared to laparoscopy or laparoscopy, we have a better understanding of the risks of uterine rupture in future pregnancies, and we have a better understanding of the risks. The risk of uterine rupture is also lower when compared to laparoscopic or open surgery to remove the fibroids, where there is scarring of the peritoneum outside the fibroids, whereas microwaves can ablate the lesion spatially while retaining the relative integrity of the muscular layer on the outside, theoretically, but need to be backed up by research data. [What to do if there is a recurrence after treatment] As mentioned earlier, since the treatment method is ablative, some of the tissue that has not been ablated and necrotic may be present in the case of a recurrence. Generally speaking, after the treatment of fibroids, it is usually necessary to prevent recurrence of the disease by combining the treatment with the Mannix Ring. After a recurrence, a second treatment can be chosen, and depending on the recurrence, other treatment options can be chosen, such as endometrial ablation or hysterectomy for fibroids with excessive menstruation.