Laparoscopic adenomyomectomy and hysteroplasty: a novel method

Journal of Minimally Invasive Gynecology
Hiroyuki TakeuchiKatsuyuki Kinoshita

Abstract

To evaluate a novel method of laparoscopic adenomyomectomy. Prospective study (Canadian Task Force classification II-3). University-affiliated hospital. Fourteen women with adenomyosis. Laparoscopic adenomyomectomy and hysteroplasty. After local injection by diluted vasopressin solution, a transverse incision was made in the adenomyotic tissue down to the endometrium, and the adenomyotic tissue was surgically removed with a monopolar needle. The normal muscle layer on the serosal membrane side was left as an upper and lower serosal flap. The flaps were overlapped and sutured to counteract the lost muscle layer to reconstruct the uterus. MEASUREMENTS AND MAIN OUTCOME: The changes of symptoms were evaluated before and after the operation. The visual analog scale of dysmenorrhea was significantly decreased, and hypermenorrhea was improved after the surgery. Postoperative pregnancy was achieved in 2 patients, and vaginal delivery was performed in the first case. For specific cases, laparoscopic adenomyomectomy may be a suitable method to relieve symptoms with minimally invasive surgery while conserving the uteri.

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Nov 24, 2004·The Journal of the American Association of Gynecologic Laparoscopists·Ming-Shien YenPeng-Hui Wang
Feb 12, 2005·Fertility and Sterility·Hiroyuki TakeuchiKatsuyuki Kinoshita
Jun 1, 2005·Journal of Minimally Invasive Gynecology·Jun KumakiriKatsuyuki Kinoshita

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Citations

Jul 15, 2009·Journal de gynécologie, obstétrique et biologie de la reproduction·J-L BrunD Dallay
Sep 6, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yong-Soon KwonKyong Shil Im
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Aug 6, 2007·Reproductive Medicine and Biology·Yukako MorimatsuMitsuaki Suzuki
Feb 13, 2021·International Journal of Environmental Research and Public Health·Maria SzubertJacek Wilczynski

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