{Reference Type}: Review
{Title}: Microwave ablation for diffuse adenomyosis leading to multiple complications after hysterectomy: A case report and literature review.
{Author}: Yang X;Zhao W;Chen S;Yang J;
{Journal}: Medicine (Baltimore)
{Volume}: 103
{Issue}: 14
{Year}: 2024 Apr 5
{Factor}: 1.817
{DOI}: 10.1097/MD.0000000000037701
{Abstract}: <B>BACKGROUND: </B>Hysterectomy after microwave ablation (MWA) is more difficult than conventional surgery which increases the probability of postoperative complications due to MWA's collateral thermal damage to nearby intestines. Here we report a case of multiple postoperative complications after hysterectomy following MWA.<BR><B>METHODS: </B>A 44-year-old female was admitted due to progressive abdominal pain during menstruation for 30 years and no relief 1 year after MWA. Hysterectomy was performed. Intraoperative findings: pelvic inflammatory exudation; the uterus and the left adnexa were extensively and densely adhered to the intestine, bladder, pelvic wall and surrounding tissues; the local tissue of the uterus was brittle and dark yellow. Intestinal obstruction, abdominal infection and urinary fistula occurred after hysterectomy.<BR><B>METHODS: </B>1. Adenomyosis. 2. Endometrial polyps. 3. Left chocolate cyst of ovary. 4. Pelvic adhesions. 5. Pelvic inflammation.<BR><B>METHODS: </B>The patient underwent intestinal obstruction catheter implantation, ultrasound-guided pelvic fluid mass puncture drainage, right kidney puncture and fistula drainage, right ureteral bladder replantation, and right ureteral stent implantation.<BR><B>RESULTS: </B>After 48 days of comprehensive treatment, the patient was cured and discharged.<BR><B>CONCLUSIONS: </B>Microwave ablation has a poor therapeutic effect on diffuse adenomyosis, and should avoid excessive ablation during the ablation process.