Saturday, 4 June 2016

An unusual case of Fibroid Embolisation


A radiologist deals with X Ray, Ultrasound, CT and MRI reporting.

Interventional radiology is a sub-speciality of radiology which involves minimally invasive procedures (similar to coronary angiography and angioplasty that cardiologists do). 

We use a tiny nick in the groin to gain access to an artery and introduce small tubes called catheters which gain access to different organs. 

We can treat several conditions in this speciality. We can treat cancers, treat pain, treat trauma and emergency cases etc  by stopping the patient from bleeding to death without taking the patient for surgery and also avoiding the need for prolonged stay in the hospital. Most of the cases are done as day cases and patients can be discharged with in 24hrs.

Uterine fibroid embolisation which is a procedure done on women suffering from fibroids in the uterus, where in we use tiny catheters to gain access to the arteries supplying fibroids and block the blood supply to fibroid. Embolisation is a posh name for blocking the blood supply.

Fibroids are benign tumours in the uterus and most women have this, however a small proportion are symptomatic. Some of the symptoms include menorrhagia which is heavy periods, and bulk symptoms which is increased tendency to pass urine and in some women constipation due to pressure effect of the fibroid on adjacent urinary bladder and rectum. Fibroids could be the cause of infertility in some women. 

Unfortunately in India, most women are not aware of this procedure and most women can avoid hysterectomy ( removal of uterus) by undergoing this procedure.

So symptomatic women with above problems should undergo ultrasound scan as the first test and if that shows fibroids then they can see an interventional radiologist like myself. 

This is done as a day case and patients get discharged after 24 hrs. There is no need for an unnecessary hospitalisation. Women can get back to their routine activities after 24 hrs. 

The black and white picture depicts small tubes which are used to gain access to the artery called uterine artery supplying the fibroid.

"No Scar" is a blessing to any woman!!!

Fibroids in Uterus is a common problem. We don't have to get the uterus removed to sort this problem. ...we can just get rid of the fibroid without removing uterus .

Here is a case on a 37 year old lady who has been suffering from heavy periods due to large fibroid but wanted to preserve her uterus... she was offered hysterectomy in various hospitals and then finally decided to come to me....

 
  




This was a rare case due to location of her fibroid in the uterus.. with in few days of the treatment, she came with labour pain and she was actually expelling the fibroid like baby. This is unusual and generally women dont expel fibroids, usually it shrinks in size and eventually becomes a painless scar in the uterus. In this case as sge was expelling it , it was taken out and she was discharged in 24 hrs ..

Recently I reviewed her in my clinic and is doing extremely well with no symptoms. In fact she referred another friend of hers who is suffering with similar problem 

I have many women who are happy with this treatment and unfortunately awareness about this procedure is lacking in india...

I am happy to answer any of your queries if you have any.

Radiofrequency blation

Here is a case of lung cancer being burnt by a technique called radiofrequency ablation. This patient previously had liver cancer which spread to lungs and he had a single nodule in the lung. In good olden days, either chemotherapy or surgical resection in very few people is the only option. However with techniques like radiofrequency ablation and microwave ablation, we can achieve results similar to surgery and improve the survival and quality of life of patients.



We use a needle which pierces through the skin and rib cage into the lung cancer under CT scan guidance. I used robotic technology to get inside the tumour.

The electrode is then connected to a generator which delivers radiofrequency heat and the temperatures go up to 90 degrees which kills the tumour cells immediately.


Patients come in on the day of procedure and get discharged the next day

Can be used for some of the liver and bone tumours too with good results.