Percutaneous cryoablation of symptomatic abdominal scar endometrioma: initial reports.
OBJECTIVE
The purpose of this preliminary study was to report the short-term local control of percutaneous image-guided cryoablation of localized symptomatic abdominal scar endometrioma.


METHODS
Four consecutive patients (mean age 34.5 years) with a total of ten lesions were included, with mean preoperative pain of 7 (range 5-9) on the visual analog scale. Cryoablation was performed in a single session under general anesthesia.


RESULTS
Postoperative superficial edema disappeared within 2 weeks for all patients. No severe complications (>grade 2 according to the CTCAE classification) were reported. Mean postoperative pain was 1.7 at 6 months (range 0-5) and magnetic resonance imaging demonstrated a significant volume decrease for all patients (range 72.2-100%; p = 0.028).


CONCLUSIONS
Percutaneous cryoablation shows promising local control in patients with symptomatic abdominal wall endometriosis.
Department of Radiology, Pellegrin Hospital, Place Amélie Raba Léon, 33076, Bordeaux, France, francois.cornelis@chu-bordeaux.fr.
F
F
Cornelis
F
F
Petitpierre
A S
AS
Lasserre
E
E
Tricaud
B
B
Dallaudière
E
E
Stoeckle
Y
Y
Le Bras
M
M
Bouzgarrou
J L
JL
Brun
N
N
Grenier
D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D002921:Cicatrix / Q000601:surgery*; D003452:Cryosurgery / Q000379:methods*; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010147:Pain Measurement; D010149:Postoperative Pain; D011446:Prospective Studies; D016896:Treatment Outcome