Robot-Assisted Laparoscopic Adenomyomectomy for Patients Who Want to Preserve Fertility
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Robot-assisted laparoscopic adenomyomectomies were performed on four nulliparous women desiring fertility preservation, resulting in near resolution of pain and no residual disease on follow-up MRI.
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Abstract
An adenomyomectomy is a conservative-surgical option for preserving fertility. Conventional laparoscopic adenomyomectomies present difficulties in adenomyoma removal and suturing of the remaining myometrium. Robot-assisted laparoscopic surgery could overcome the limitations of conventional laparoscopic surgery. Four patients with severe secondary dysmenorrhea and pelvic pain visited Seoul St. Mary's Hospital and were diagnosed with adenomyosis by pelvic ultrasonography and pelvic magnetic resonance imaging (MRI). The four patients were unmarried, nulliparous women, who desired a fertility-preserving treatment. We performed robot-assisted laparoscopic adenomyomectomies. The dysmenorrhea and pelvic pain of the patients nearly disappeared after surgery. No residual adenomyosis was observed on the follow-up pelvic MRI. A robot-assisted laparoscopic adenomyomectomy was feasible, and could be a minimally invasive surgical option for fertility-sparing treatment in patients with adenomyosis.
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Cited by (14)
- Laparoscopic adenomyomectomy combined with levonorgestrel-releasing intrauterine system is effective for long-term management of adenomyosis 2024
- Prevalence, incidence, and treatment trends of adenomyosis in South Korean women for 15 years: A national population-based study 2024
- Surgical Efficacy among Laparoscopic Ultrasonic Dissectors in Adenomyosis 2023
- Clinical efficacy of a novel method of fertility-preserving adenomyomectomy in infertile women with diffuse adenomyosis 2023
- Literature Review on the Modern Management of Adenomyosis 2022
- Robot-assisted Laparoscopic Adenomyomectomy 2022
- Laparoscopic adenomyomectomy combined with levonorgestrel-releasing intrauterine system is effective for long management of adenomyosis 2022
- Anti-Müllerian hormone level may predict successful pregnancy after adenomyomectomy in patients with infertility due to adenomyosis 2021
- The Surgical Treatment of Adenomyosis 2021
- A comparison of surgical outcomes between robot and laparoscopy-assisted adenomyomectomy 2019
- A New Surgical Method of U-Shaped Myometrial Excavation and Modified Suture Approach with Uterus Preservation for Diffuse Adenomyosis 2018
- Surgical Treatments for Adenomyosis 2018
- New paradigms in the conservative surgical and interventional management of adenomyosis 2017
- Robotics and Reproductive Surgery 2017
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- last seen: 2026-06-11T06:19:48.454388+00:00
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- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:20:54.390225+00:00
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