Use of laparoscopic cytoreductive surgery to treat infertile women with localized adenomyosis

Chin-Jung Wang, Chin‐Jung Wang, Wang CJ, Leung-To Yuen, Yuen LT, Leung‐To Yuen, Chang SD, Shuenn-Dyh Chang, Shuenn‐Dyh Chang, Chyi‐Long Lee, Chyi-Long Lee, Lee CL, Yung‐Kuei Soong, Soong YK, Yung-Kuei Soong
Fertility and sterility · 2006 · vol. 86(2) , pp. 462.e5–462.e8 · doi:10.1016/j.fertnstert.2005.12.066 · PMID:16806205 · W2025251544
article OA: bronze CC0 ⤵ 30 in-corpus citations
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This paper describes the application of laparoscopic cytoreductive surgery for the treatment of localized adenomyosis in infertile women.

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Abstract

ObjectiveWe report on two infertile women with localized adenomyosis who had successful pregnancies after treatment with laparoscopic cytoreductive surgery.DesignCase report.SettingTertiary care university hospital.Patient(s)Two infertile women with localized adenomyosis.Intervention(s)Laparoscopic excision of adenomyotic lesion with/without subsequent hypoestrogenic agent was performed.Main outcome measure(s)Pregnancy.Result(s)Hypoestrogenic agent with danazol was administered 3 months immediately after surgery in one woman. Both women conceived spontaneously at 30 and 21 months after surgery, respectively. The pregnancies were uneventful, and healthy infants were delivered via cesarean section at term.Conclusion(s)Laparoscopic cytoreductive surgery can be an alternative treatment to the use of hypoestrogenic agents or hysterectomy in women with localized adenomyosis, especially for those who want to maintain their fertility and achieve successful pregnancies. Patients may wait up to 21 months after surgery until a pregnancy occurs.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Danazol Endometriosis Endometriosis Estrogen Antagonists Infertility, Female Laparoscopy Postoperative Care Adult Danazol Endometriosis Estrogen Antagonists Female Humans Infant, Newborn Infertility, Female Infertility, Female Male Pregnancy Treatment Outcome

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (18)

Cited by (30)

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