Uterine adenomyosis and adenomyoma: the surgical approach

Hisao Osada, Osada H
Fertility and sterility · 2018 · vol. 109(3) , pp. 406–417 · doi:10.1016/j.fertnstert.2018.01.032 · PMID:29566853 · W2791567671
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This paper reviews the surgical approaches for treating uterine adenomyosis and adenomyoma, discussing various techniques and their associated outcomes.

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Abstract

The appropriate surgical treatment of adenomyosis, a benign invasion/infiltration of endometrial glands within the underlying myometrium, remains a subject of discussion. Since 1990, in place of the classical V-shaped resection method, various kinds of surgical management have been attempted, including a uterine muscle flap method that emphasizes fertility preservation, an asymmetric dissection method, and various modified reduction methods. Laparoscopic adenomyomectomy has also become an alternative to laparotomy for surgically managing the focal type of adenomyosis, although it seems to be associated with a higher risk of uterine rupture than laparotomy. This article reviews the surgical treatment of adenomyosis, including 23 uterine rupture cases that occurred during post-adenomyomectomy pregnancies, and provides an updated picture of the state of the field.

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Condition tags

adenomyosis

MeSH descriptors

Adenomyosis Uterine Diseases Uterine Myomectomy Uterus Adenomyosis Adenomyosis Adenomyosis Dissection Female Fertility Preservation Humans Laparoscopy Postoperative Complications Postoperative Complications Risk Factors Surgical Flaps Treatment Outcome Uterine Diseases Uterine Diseases Uterine Diseases

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 (57)

Cited by (50)

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License: CC0 · commercial use OK