Association of uterine wall thickness with pregnancy outcome following uterine-sparing surgery for diffuse uterine adenomyosis

Yasuo Otsubo, Masato Nishida, Nishida M, Yuko Arai, Arai Y, Ryota Ichikawa, Ichikawa R, Taneichi A, Akiyo Taneichi, Miyako Sakanaka, Sakanaka M
The Australian & New Zealand journal of obstetrics & gynaecology · 2015 · vol. 56(1) , pp. 88–91 · doi:10.1111/ajo.12419 · PMID:26515936 · W1867538950
Other OA: closed CC0 ⤵ 31 in-corpus citations
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This study found that uterine wall thickness after surgery for adenomyosis was associated with pregnancy outcomes, with thicknesses between 9-15 mm possibly optimizing conception and preventing rupture.

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Abstract

BACKGROUND: The risk of uterine rupture is a major concern for women who become pregnant after undergoing an adenomyomectomy. AIMS: The aim of this study was to investigate the association of uterine wall thickness with pregnancy outcome. MATERIALS AND METHODS: Uterine wall thickness was measured using sonography and/or magnetic resonance imaging in 23 pregnant women who underwent uterine-sparing surgery for diffuse uterine adenomyosis prior to conception. RESULTS: Of the 23 women, 10 (43.5%) had an early miscarriage and 13 (56.5%) proceeded to delivery. Of the ten early miscarriage cases, two had a uterine rupture caused by excision of the uterine wall to within 7 mm. CONCLUSIONS: Wall thickness of the excised uterus was highly associated with uterine rupture. We concluded that optimum wall thickness for conception and preventing uterine rupture during pregnancy may range from 9 to 15 mm.

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Condition tags

adenomyosis

MeSH descriptors

Abortion, Spontaneous Adenomyosis Gynecologic Surgical Procedures Gynecologic Surgical Procedures Postoperative Complications Uterine Rupture Uterus Abortion, Spontaneous Abortion, Spontaneous Adenomyosis Adenomyosis Adenomyosis Adult Adult Female Female Humans Humans Magnetic Resonance Imaging Magnetic Resonance Imaging

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (8)

Cited by (31)

Source provenance

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