Clinical Analysis of Laparoscopic Hysterectomy in the Treatment of Adenomyosis

Yang Yu

doi:10.3877/cma.j.issn.1673-5250.2013.01.004

Clinical Analysis of Laparoscopic Hysterectomy in the Treatment of Adenomyosis

Yang Yu

In: Chung-Hua Fu Ch'an K'o Tsa Chih · 2013 · vol. 9(1) , pp. 15–17 · doi:10.3877/cma.j.issn.1673-5250.2013.01.004 · W3149592578

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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

Laparoscopic subtotal hysterectomy showed shorter operation times and less blood loss than total hysterectomy, with comparable symptom relief and fewer complications for adenomyosis patients.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This study evaluated clinical outcomes of laparoscopic subtotal hysterectomy (LSH) versus laparoscopic total hysterectomy (LTH) in 200 patients with adenomyosis treated at West China Second University Hospital between January 2010 and September 2011, with patients assigned to LSH (n=100) or LTH (n=100) and groups balanced for age and comorbidities. Compared with LTH, LSH had shorter operation time, less intraoperative blood loss, and shorter postoperative urethral catheterization duration and hospital stay, while postoperative pain scores and anal exhaust time did not differ significantly; sexual and daily life quality measures were also similar. Both groups showed remission of dysmenorrhea and lower rates of postoperative complications, and the authors note ethics approval and informed consent. This paper is centrally about adenomyosis — it compares LSH and LTH for adenomyosis treatment outcomes.

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Abstract

Objective To evaluate the clinic effects of laparoscopic subtotal hysterectomy (LSH) and laparoscopic total hysterectomy (LTH) in treating adenomyosis. Methods From January 2010 to September 2011, a total of 200 cases with adenomyosis were included into this study. They were divided into two groups according to different operation methods, LSH group (n=100) and LTH group (n=100). There had no significant difference on age and complications between two groups (P>0.05). The study protocol was approved by the Ethical Review Board of Investigation in Human Being of West China Second University Hospital. Informed consent was obtained from all participates. The following items were observed retrospectively, surgical indicators (operation duration, blood loss and postoperative blood transfusion situation), indicators of short-term recovery (postoperative indwelling catheter time, placement of negative pressure drainage, anal exhaust time, postoperative pain score, and hospital stay), and indicators of long-term follow-up (alleviation situation of postoperative dysmenorrheal, assessment of sexual life quality, quality evaluation of daily life, pelvic floor tissue support, lesions and malignant transformation rate of cervical stump, as well as the existence of persistent postoperative cyclical vaginal bleeding). Results The operation duration, blood loss of LSH group were less than those in LTH group, with significant difference (P 0.001). Dysmenorrhea symptoms of two groups were remission, and the incidence of postoperative complications were lower. Conclusions The clinical effects of LSH group is better than that of LTH group, and LSH is recommended in treating adenomyosis. Key words: adenomyosis; laparoscope; subtotal hysterectomy; total hysterectomy

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Objective

To evaluate the clinic effects of laparoscopic subtotal hysterectomy (LSH) and laparoscopic total hysterectomy (LTH) in treating adenomyosis.

Methods

From January 2010 to September 2011, a total of 200 cases with adenomyosis were included into this study. They were divided into two groups according to different operation methods, LSH group (n=100) and LTH group (n=100). There had no significant difference on age and complications between two groups (P>0.05). The study protocol was approved by the Ethical Review Board of Investigation in Human Being of West China Second University Hospital. Informed consent was obtained from all participates. The following items were observed retrospectively, surgical indicators (operation duration, blood loss and postoperative blood transfusion situation), indicators of short-term recovery (postoperative indwelling catheter time, placement of negative pressure drainage, anal exhaust time, postoperative pain score, and hospital stay), and indicators of long-term follow-up (alleviation situation of postoperative dysmenorrheal, assessment of sexual life quality, quality evaluation of daily life, pelvic floor tissue support, lesions and malignant transformation rate of cervical stump, as well as the existence of persistent postoperative cyclical vaginal bleeding).

Results

The operation duration, blood loss of LSH group were less than those in LTH group, with significant difference (P<0.05), the duration of urethral catheterizationn and hospital stay in LSH group were significantly shorter than those of LTH group, with significant difference (P0.001). Dysmenorrhea symptoms of two groups were remission, and the incidence of postoperative complications were lower.

Conclusions

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