Biopsy Diagnosis and Conservative Surgical Treatment of Adenomyosis
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This study reports on biopsy diagnosis and conservative surgical treatments, including endometrial resection and myometrial reduction/excision, for 15 patients with adenomyosis, showing improvement in most cases.
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Abstract
Fifteen patients with dysmenorrhoea and menorrhagia refractory to medical treatment were referred for surgical treatment. Pre-operative diagnosis of adenomyosis was suggested by vaginal ultrasound in 13 patients and was confirmed pre-operatively by myometrial biopsy in 5 and by transcervical myometrial biopsy at the time of endometrial resection in 7. Conservative surgery included endometrial resection (7), myometrial reduction by electrocautery (4), and myometrial excision (3). Marked improvement occurred in 4 of 7 patients after endometrial resection, 3 of 4 after myometrial reduction, and all of 3 having myometrial excision. Diagnosis of adenomyosis is improved by use of vaginal ultrasound and percutaneous or transcervical myometrial biopsy. Conservative surgical procedures including endometrial resection and myometrial reduction or excision may reduce the need for hysterectomy in the presence of adenomyosis.
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References (4)
- Indications for endometrial resection via openalex
- W24055973 via openalex
- W2399797405 via openalex
- W2409282479 via openalex
Cited by (23)
- Current and Prospective Treatment of Adenomyosis 2021
- Benign gynecologic lesions 2021
- Conservative Surgery in the Management of Adenomyosis 2019
- Laparoscopic Radiofrequency Thermal Ablation for Uterine Adenomyosis 2015
- Fertility outcome of infertile women with adenomyosis treated with the combination of a conservative microsurgical technique and GnRH agonist: Long-term follow-up in a series of nine patients 2012
- Local excision of uterine adenomyomas: a report of 86 cases with follow-up analyses 2011
- Histerektomi Materyallerinde Adenomyozis Sıklığının Araştırılması 2009
- Is the surgical approach beneficial to subfertile women with symptomatic extensive adenomyosis? 2008
- Current diagnostic and treatment strategies for adenomyosis 2006
- Medical and surgical management of adenomyosis 2006
- Therapeutic options for adenomyosis: a review 2006
- Transvaginal ultrasound for diagnosis of adenomyosis: a review 2006
- Évolutions physiopathologiques, diagnostiques et thérapeutiques dans la prise en charge de l’adénomyose : revue de la littérature 2004
- Endokrine operative Therapie der Adenomyosis 2004
- Transvaginal ultrasound guided biopsies in the diagnosis of pelvic lesions 2003
- Adenomyosis and endometrial ablation 2000
- Ultrasonographic and hysteroscopic follow up after transcervical resection of the endometrium 1999
- Treatment of Endometriosis 1998
- Adenomyosis, Leiomyomata, and Pelvic Pain 1998
- Transvaginal ultrasonography versus uterine needle biopsy in the diagnosis of diffuse adenomyosis 1998
- Treatment of adenomyosis-associated menorrhagia with a levonorgestrel-releasing intrauterine device 1997
- Treatment of adenomyosis-associated menorrhagia levonorgestrel-releasing intrauterine device with a 1997
- Laparoscopic Diagnosis of Adenomyosis : a Case Report 1997
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