Women suffering from symptomatic fibroids,lesions which occur in the uterus leading to excessive bleeding and may even cause fertility need not worry about getting the tumours surgically removed. For,in a first,the premier tertiary care institute,PGIMER,is soon going to the get the latest equipment,High Resolution Focused Ultrasound (HIFU) using which the fibroids can be destroyed in a completely
In fact,this will make PGIMER the first public sector institute in the country to have such high end equipment. So far,only six private sector hospitals have this equipment which is extensively been used in the USA,Netherlands,Canada and other western countries for treating various tumours
Speaking to Newsline,Dr Maurice Van Den Bosch,professor,interventional radiologist at University Medical Centre,Utercht,Netherlands who is one of the pioneers in using the HIFU technique,said,No incision is required for this therapy. By using sophisticated software,high energy ultrasound beam is focused onto the fibroid. This generates heat and ablates the lesion non-invasively. This treatment is planned and monitored by using MRI simultaneously which is used to generate thermal maps and records the temperature profile of the lesion.
However,he added that not every tumour can be removed using HIFU and only the tumours of specific sizes and dimensions which are fit for destruction using the ultrasound beam should be treated with it.
MRI guided HIFU is at present not being practiced anywhere in Northern India and the Radiology department at PGIMER is in the process of acquiring the equipment,said Dr Khandelwal,head of the department of Radiodiagnosis,PGIMER.
On an average,one in every three women is suffering from fibroids though out of these,about 25-30 females will have symptoms such as excessive bleeding,uneasiness in the abdomen,bulge,infertility etc,remaining will have no symptoms at all and the fibroids are benign,said Dr Lakhbir Kaur Dhaliwal,head of the department of Obstetrics and gynecology,PGIMER. In certain cases,the fibroids will not show any symptoms at all thereby causing no harm and by the time,a woman reaches menopausal stage,these fibroids start shrinking on their own,she added.
However,in PGI the burden of the disease is very high with 10-12 cases showing up on a daily basis in Gynaecology OPDs and about 2-3 surgeries being performed on a weekly basis, added Dr Lakhbir.