Experience of Surgical Treatment of Adenomyosis and Reproductive Outcomes

Rukhliada Nikolai N
In: World Journal of Gynecology & Womens Health · 2020 · vol. 3(3) · doi:10.33552/wjgwh.2020.03.000564 · W3038465842
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper discusses surgical treatment for adenomyosis, a benign uterine condition involving glandular invasion of the myometrium, by focusing on the excision of affected tissue.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This review discusses surgical treatments for adenomyosis, focusing on adenomyomectomy techniques (including various resection and flap reconstruction methods, plus laparoscopic approaches) and summarizes reported reproductive outcomes such as clinical pregnancy, miscarriage, live birth, and uterine rupture. Drawing from literature up to 2016 and multiple prior case series, it reports pregnancy rates across surgical modifications ranging from 17.5% to 72.7% (noting that assisted reproductive technologies can contribute), with an overall tally of 2365 adenomyomectomies and 449 confirmed pregnancies, 80.8% resulting in childbirth, and 3.6% uterine rupture. A major caveat highlighted across the evidence base is that outcomes are drawn from heterogeneous observational reports with varying surgical methods, patient selection, and use of fertility assistance, limiting comparability. This paper is centrally about endometriosis/adenomyosis—specifically adenomyosis surgical techniques and their reproductive outcomes.

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Abstract

Adenomyosis is a benign tumor process of the uterus, one of the forms of endometrioid disease. Surgical treatment of adenomyosis to this day is the subject of discussion by many authors, but the principle of surgical interventions remains the same - excision of the myometrium affected by glandular invasion.

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Condition tags

adenomyosis

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.

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last seen: 2026-06-10T17:14:06.276822+00:00
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