Local excision of uterine adenomyomas: a report of 86 cases with follow-up analyses

Zhiyuan Dai, Feng Xiao, Xiao Feng, Liying Gao, Min Huang
European journal of obstetrics, gynecology, and reproductive biology · 2011 · vol. 161(1) , pp. 84–87 · doi:10.1016/j.ejogrb.2011.11.028 · PMID:22153904 · W2060868239
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This paper reports on 86 cases of local excision for uterine adenomyomas, including follow-up analyses of outcomes.

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Abstract

OBJECTIVE: To assess the outcomes of patients who underwent local excision of adenomyoma and to evaluate the effectiveness of the procedure. STUDY DESIGN: Prospective study of 86 women undergoing local excision of symptomatic uterine adenomyoma at laparotomy. Dysmenorrhea was assessed before and after operation by questionnaire, and the average duration of follow-up was 24 months. RESULT(S): At 6-month follow-up, all 86 patients' dysmenorrhea grades were reduced by more than 80%. With a mean follow-up of 24 (range 6-60) months, a total of 2 (2.3%) patients finally underwent hysterectomy, 1 (1.2%) received levonorgestrel-releasing intrauterine device therapy, and three patients (11.3%) were subsequently given treatment with oral pain medication alone. The mean time interval between local excision and subsequent treatment was 34 months. Two (2.3%) patients became pregnant after the local excision: one (1.2%) at 2 months after the procedure and one (1.2%) at 3 years after the local excision procedure. CONCLUSION(S): Local excision of uterine adenomyoma remains a safe and effective minimally invasive treatment for women with symptomatic uterine adenomyoma. Local excision can effectively alleviate the dysmenorrhea of adenomyoma.

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MeSH descriptors

Adenomyoma Uterine Neoplasms Adenomyoma Adult Dysmenorrhea Dysmenorrhea Dysmenorrhea Female Follow-Up Studies Humans Laparotomy Middle Aged Prospective Studies Treatment Outcome Uterine Neoplasms

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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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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