Operative treatment for adenomyosis: update on literature review

Gde Sastra Winata, Anom Suardika, Putu Doster Mahayasa, Nyoman Gede Budiana, I Gusti Ngurah Agung Trisnu Kamajaya
In: Indonesian Journal of Perinatology · 2024 · vol. 5(2) , pp. 67–72 · doi:10.51559/inajperinatol.v5i2.58 · W4406230195
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by qwen3.7-flash, 2026-08-28 ⓘ

This review examines operative techniques for adenomyosis, emphasizing how asymmetric dissection, wedge resection, and laparoscopic approaches balance effective lesion removal with uterine preservation to optimize surgical outcomes.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-28 · read from full text ⓘ

This review article examines the current landscape of operative treatments for adenomyosis, a condition defined by the infiltration of endometrial tissue into the myometrium. It evaluates various surgical techniques, including asymmetric dissection, wedge resection, and flap methods, with a focus on balancing effective lesion removal with the preservation of uterine integrity and fertility potential. The authors highlight how advancements in laparoscopic and robotic approaches, along with innovative procedures like the PUSH operation, have improved surgical accuracy and structural healing outcomes. Relevance to endometriosis: This paper is centrally about adenomyosis, which is often considered a related or overlapping condition with endometriosis due to shared histological features of ectopic endometrial-like tissue.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Adenomyosis, a condition characterized by the presence of endometrial tissue within the myometrium, poses significant challenges in diagnosis and management due to its widespread and infiltrative nature. Operative treatment remains the primary treatment of choice for patients with symptomatic adenomyosis, especially those seeking fertility preservation or uterine conservation. This review explores the latest surgical techniques, emphasizing the balance between effective lesion removal and preservation of uterine function. Techniques such as asymmetric dissection, wedge resection, and various flap methods are discussed, highlighting their role in minimizing the loss of healthy myometrium while preserving uterine integrity. The evolution of laparoscopic and robotic approaches has improved accuracy and recovery, while innovative procedures such as the PUSH operation offer improved structural healing after excision. The choice of technique is guided by preoperative imaging and intraoperative findings, tailored to the extent and location of adenomyosis involvement. This review underscores the importance of individualized surgical strategy in achieving optimal outcomes in the surgical management of adenomyosis.
Full text 1,408 characters · extracted from oa-doi-fallback · 2 sections · click to expand

Keywords

adenomyosis, abnormal uterine bleeding, conservative therapy, operative therapy

Abstract

Adenomyosis, a condition characterized by the presence of endometrial tissue within the myometrium, poses significant challenges in diagnosis and management due to its widespread and infiltrative nature. Operative treatment remains the primary treatment of choice for patients with symptomatic adenomyosis, especially those seeking fertility preservation or uterine conservation. This review explores the latest surgical techniques, emphasizing the balance between effective lesion removal and preservation of uterine function. Techniques such as asymmetric dissection, wedge resection, and various flap methods are discussed, highlighting their role in minimizing the loss of healthy myometrium while preserving uterine integrity. The evolution of laparoscopic and robotic approaches has improved accuracy and recovery, while innovative procedures such as the PUSH operation offer improved structural healing after excision. The choice of technique is guided by preoperative imaging and intraoperative findings, tailored to the extent and location of adenomyosis involvement. This review underscores the importance of individualized surgical strategy in achieving optimal outcomes in the surgical management of adenomyosis.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

adenomyosis

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. This is a recent paper (2024) — citers typically take a year or two to land, and the OpenAlex reference graph may still be filling in.

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK