{"paper_id":"a1ffbadb-4ee4-4ffd-bc8c-51688c154780","body_text":"Abstract\nPurpose of review\nThis paper aims to discuss the state of the art of the conservative surgical treatment of adenomyosis.\nRecent findings\nMedical treatment for adenomyosis is usually the first step, but some patients do not respond. Hysterectomy using minimally invasive techniques is the gold-standard treatment for those patients that do not desire pregnancies. Although there is no definitive evidence to support conservative surgical treatment for adenomyosis, many authors described good results in women who wish to preserve fertility.\nSummary\nAlthough hysterectomy is the main form of treatment, conservative options should be offered to women who wish to maintain their fertility. Several excisional and non-excisional techniques can be indicated for selected patients with promising results, always keeping in mind the risks of uterine rupture and recurrence with these techniques.\nAccess this article\nWe’re sorry, something doesn't seem to be working properly.\nPlease try refreshing the page. If that doesn't work, please contact support so we can address the problem.\nSimilar content being viewed by others\nReferences\nPapers of particular interest, published recently, have been highlighted as: • Of importance\nVannuccini S, Petraglia F. Recent advances in understanding and managing adenomyosis. F1000 Res. 2019. https://doi.org/10.12688/f1000research.17242.1.\nOliveira MAP, Crispi CP Jr, Brollo LC, Crispi CP, De Wilde RL. Surgery in adenomyosis. Arch Gynecol Obstet. 2018;297:581–9.\nOsada H. Uterine adenomyosis and adenomyoma: the surgical approach. Fertil Steril. 2018;109:406–17.\nAbbott JA. 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Int J Gynaecol Obstet. 2004;84:87–8.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEthics declarations\nConflict of Interest\nNone of the authors have any conflict of interest.\nResearch Involving Human and Animal Participants\nAs a review manuscript, this article does not contain any studies with human participants or animals performed by any of the authors.\nAdditional information\nPublisher's Note\nSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.\nThis article is part of the Topical Collection on Uterine Fibroids and Endometrial Lesions\nRights and permissions\nAbout this article\nCite this article\nOliveira, M.A.P., Brollo, L.C., Soares, T. et al. Surgical Treatment of Adenomyosis. Curr Obstet Gynecol Rep 11, 180–185 (2022). https://doi.org/10.1007/s13669-022-00335-6\nAccepted:\nPublished:\nVersion of record:\nIssue date:\nDOI: https://doi.org/10.1007/s13669-022-00335-6","source_license":"CC0","license_restricted":false}