Conservative surgery of uterine adenomyosis via laparoscopic versus laparotomic approach in a single institution

The Journal of Obstetrics and Gynaecology Research
Jae Young KwackYong Soon Kwon

Abstract

To evaluate the surgical outcomes of both approach methods (laparoscopy vs laparotomy) and to suggest the proper surgical approach according to type of uterine adenomyosis (focal vs diffuse). We retrospectively analyzed 224 cases of uterine adenomyomectomy, 116 laparotomic and 108 laparoscopic, performed between July 2011 and June 2016 by a single surgeon (Y. S. K.). In all 224 cases, the surgeon had used transient occlusion of the uterine artery (TOUA). Surgical outcomes included weight of specimen, operating time, estimated blood loss and intraoperative injury to other organs. Postoperative clinical outcomes included symptom improvement (dysmenorrhea, menorrhagia and others) and recurrence. All patients in the laparoscopic group had been diagnosed with focal uterine adenomyosis, and most in the laparotomic group (85.3%) had been diagnosed with diffuse type. The largest lesion diameters were 6.48 cm in the laparotomic group and 4.34 cm in the laparotomic group. Operation time and estimated blood loss were 116.12 min and 222.67 mL in the laparotomic group and 75.09 min, respectively, and 155.33 mL in the laparoscopic group. There was no case of laparotomic conversion in patients with laparoscopic adenomyomectomy. Conservative s...Continue Reading

References

Jun 22, 2007·Human Reproduction·Wouter J K HehenkampWillem M Ankum
Jan 7, 2011·The Journal of Obstetrics and Gynaecology Research·Hiroyuki YazawaKeiya Fujimori
Mar 24, 2012·Human Reproduction Update·Abha MaheshwariSiladitya Bhattacharya
May 2, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yong-Soon KwonKyong Shil Im
Sep 6, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yong-Soon KwonKyong Shil Im
Dec 3, 2013·Fertility and Sterility·Grigoris F GrimbizisBasil Tarlatzis
Apr 29, 2014·Reproductive Biomedicine Online·AboTaleb SaremiArash Pooladi
Jun 24, 2014·Fertility and Sterility·Yohei KishiFumiaki Taniguchi
Dec 17, 2014·The Journal of Obstetrics and Gynaecology Research·Yong-Soon KwonKyong Shil Im
Jul 6, 2016·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·A PontisS Angioni
Jul 26, 2017·Journal of Minimally Invasive Gynecology·Grace Younes, Togas Tulandi

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Citations

Nov 6, 2020·Seminars in Reproductive Medicine·Joseph ChenKimberly A Kho

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