Experience with a Cold-knife in Laparoscopic Adenomyomectomy

Takeshi Nakayama, Musashi Ishibashi, Kazunori Tanaka
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2009 · vol. 25(2) , pp. 438–441 · doi:10.5180/jsgoe.25.438 · W2327582691
article OA: bronze CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This study reports a successful laparoscopic adenomyomectomy using a cold knife after a Harmonic Scalpel, which improved visualization of the tissue interface and facilitated lesion resection.

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, 2026-06-13 · read from full text ⓘ

This paper reports clinical experience performing a laparoscopic adenomyomectomy for localized uterine adenomyosis with a fertility-preserving goal, comparing technical issues seen with energy-based devices. The authors note that monopolar electric knives and Harmonic Scalpels can cause heat degeneration in both adenomyomatous and normal myometrial tissue, making the abnormal–normal interface less clear, and they describe a successful resection sequence using an Endoscalpel cold knife after prior Harmonic Scalpel use. They state that the clearer interface enabled resection of the adenomyomatic lesion. Relevance to adenometriosis: the study is centrally about laparoscopic adenomyomectomy for localized uterine adenomyosis.

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

Abstract

Laparoscopic adenomyomectomies are performed in women with localized uterine adenomyosis with desired fertility. Both monopolar electric knives and Harmonic Scalpels® have been widely used in laparoscopic procedures; however, resection is not always easy, because both adenomyomatic and normal myometrial tissue develop heat degeneration with these devices, and the interface between abnormal and normal tissue is unclear. Here we report a successful adenomyomectomy using a cold knife (Endoscalpel®) following use of a Harmonic Scalpel®. The interface became clearer and the adenomyomatic lesion was resected.
Full text 869 characters · extracted from oa-doi-fallback · click to expand
Original Experience with a Cold-knife in Laparoscopic Adenomyomectomy 2009 Volume 25 Issue 2 Pages 438-441 Details Abstract Laparoscopic adenomyomectomies are performed in women with localized uterine adenomyosis with desired fertility. Both monopolar electric knives and Harmonic Scalpels® have been widely used in laparoscopic procedures; however, resection is not always easy, because both adenomyomatic and normal myometrial tissue develop heat degeneration with these devices, and the interface between abnormal and normal tissue is unclear. Here we report a successful adenomyomectomy using a cold knife (Endoscalpel®) following use of a Harmonic Scalpel®. The interface became clearer and the adenomyomatic lesion was resected. © 2009 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy Favorites & Alerts Recently viewed articles

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 (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (3)

References (5)

Source provenance

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