Aspiration (sclerosing) therapy in pelvic benign tumors: a topic for discussion

The main tendency of the modern surgery is the reduction of operational injuries and the refusal of unreasonable operations that allows to reduce the frequency of intra and postoperative complications, which are very difficult sometimes. Today, the possibility of highly informative methods of visual diagnostics (highdefinition ultrasound, computed tomography with bolus contrast enhancement, magnetic resonance imaging) in combination with testing of markers of neoplastic processes allows in certain situations not only to argue the feasibility of conservative therapy and/or dynamic monitoring, but also to use widely methods of therapeutic aspiration biopsy with ultrasound control. In 2001 we developed the term “ultrasonic mini-surgery”, which units all the invasive interventions, carried out under the control of transvaginal echography.1 As a method of treatment, ultrasonic mini-surgery can be applied in the following clinical situations: