The effect of adenomyosis on the outcomes of laparoscopic hysterectomy

Ali Yavuzcan, Alper Başbuğ, Başbuğ A, Merve Baştan, Baştan M, Çağlar M, Mete Çağlar, Özdemir İ, İsmail Özdemir
Journal of the Turkish German Gynecological Association · 2016 · vol. 17(3) , pp. 150–154 · doi:10.5152/jtgga.2016.16073 · PMID:27651723 · PMC5019831 · W2521696961
article OA: diamond CC0 ⤵ 4 in-corpus citations
📄 Open PDF Full text JSON View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study evaluated perioperative and early postoperative outcomes in patients undergoing laparoscopic hysterectomy with and without adenomyosis to determine its effect on complication rates.

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

⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

The paper retrospectively evaluated perioperative and early postoperative outcomes of laparoscopic hysterectomy in women with and without adenomyotic lesions, using university hospital records. Compared with controls (n=61), patients with adenomyosis (n=10) had a significantly larger mean uterus size, but there were no statistically significant between-group differences in perioperative parameters such as delta hemoglobin, pelvic drainage catheter insertion, or urinary tract assessment, nor in postoperative outcomes including blood transfusion rates, maximum body temperature, length of stay, and catheterization duration. The authors conclude that laparoscopic hysterectomy appears safe for patients with adenomyosis, while noting the need for large-scale, prospective, randomized trials to support routine use. This paper is centrally about adenomyosis — specifically, it evaluates whether adenomyosis alters outcomes after laparoscopic hysterectomy.

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

Abstract

The presence of adenomyosis (ADS) may increase complication rates associated with laparoscopic hysterectomy (LH) due to an increased weight of the uterus, increased vascularization of the uterus, impaired myometrial tissue, and presence of additional gynecological pathologies such as leiomyoma or endometriosis. The aim of the present study was to evaluate perioperative and early postoperative parameters in patients with or without adenomyotic lesions.
Full text 1,800 characters · extracted from oa-html · 4 sections · click to expand

Abstract

Objective: The presence of adenomyosis (ADS) may increase complication rates associated with laparoscopic hysterectomy (LH) due to an increased weight of the uterus, increased vascularization of the uterus, impaired myometrial tissue, and presence of additional gynecological pathologies such as leiomyoma or endometriosis. The aim of the present study was to evaluate perioperative and early postoperative parameters in patients with or without adenomyotic lesions.

Conclusion

LH appears to be a safe alternative for patients with ADS. Large-scale, prospective, and randomized trials are required in order to suggest the routine use of LH in patients preoperatively diagnosed with ADS.

Results

In this study, the mean age of the patients was 50.93±9.39 years. The mean uterus size was significantly higher in patients with ADS (p=0.02). There was no statistically significant difference in perioperative variables such as delta hemoglobin (Hb), insertion of pelvic drainage catheter, and invasive assessment of the urinary tract between both the groups (p=0.27, p=1.0, and p=0.67, respectively). The difference between the groups in terms of postoperative blood transfusion was not statistically significant (p=0.25). There was no statistically significant difference in the postoperative maximum body temperature, length of hospital stay, and duration of urinary catheterization between both the groups (p=0.77, p=0.36, and p=0.75, respectively).

Material and methods

The study included patients who underwent LH in a university hospital. Patient data were retrieved from the hospital records and reviewed retrospectively. Sixty-one patients (85.9%) without adenomyotic lesions comprised the control group. Ten patients with adenomyotic lesions (14.1%) were regarded as the study group.

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-html ⓘ

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

endometriosisadenomyosis

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 (33)

Cited by (4)

Source provenance

europepmc
last seen: 2026-07-26T06:08:39.051465+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:20:54.390225+00:00
License: CC0 · commercial use OK