Laparoscopic excision of uterine adenomyomas

Grimbizis, Grigoris; Mikos, Themistoklis; Zepiridis, Leonidas; Theodoridis, Theodoros; Miliaras, Dimosthenis; Tarlatzis, Basil C.; Bontis, J.

doi:10.1016/j.fertnstert.2007.04.063

Cited by 33 publications

(24 citation statements)

References 39 publications

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“…14 The option of surgical excision may be considered for those who wish to preserve their uterus, but the procedure is more challenging than for myomectomy. 15 If there is a defined adenomyoma lesion (focal adenomyosis), surgical excision may be possible; however, in cases of diffuse adenomyosis, debulking surgery may leave significant adenomyosis remaining in the uterus. Unlike leiomyomata, due to the ill-defined boundaries between the endometrium and myometrium, complete removal of the adenomyoma may not be possible and recurrence is more likely.…”

Section: Current Treatment Optionsmentioning

confidence: 99%

MR-guided focused ultrasound for the treatment of adenomyosis: current insights

Chin¹,

Walbridge²,

Quinn³

2015

RRFU

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Adenomyosis is a benign gynecological condition causing significant morbidity among women of reproductive age. The available treatments are currently limited in number and efficacy. While hysterectomy is curative, it is unacceptable to many women, particularly those wishing to conserve their fertility. Magnetic resonance-guided focused ultrasound surgery is a noninvasive treatment method that has been used to effectively treat uterine leiomyomata, but until recently has not been routinely used to treat adenomyosis. This review summarizes the current understanding of adenomyosis and high-intensity focused ultrasound, and the recent research into the safety and efficacy of this technique.

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Section: Current Treatment Optionsmentioning

confidence: 99%

MR-guided focused ultrasound for the treatment of adenomyosis: current insights

Chin¹,

Walbridge²,

Quinn³

2015

RRFU

View full text Add to dashboard Cite

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“…Minilaparotomy (29,30), ultraminilaparotomy (31,32), or laparoscopy (33,34) was used with these patients. The principles of reproductive surgery were strictly followed, thereby minimizing trauma to normal uterine tissue at all times (11).…”

Section: Surgical Treatmentmentioning

confidence: 99%

Comparison of surgery alone and combined surgical-medical treatment in the management of symptomatic uterine adenomyoma

Wang

Liu

Fuh

et al. 2009

Fertility and Sterility

112

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“…After performing hysteroscopic metroplasty, a significant decrease in rates of abortions and preterm delivery was reported in treated patients. Abortion rate decreased to 16 decreased to 6.4%, while a significant rise of term deliveries and live birth was reported (76.3% and 83.2%), in comparison with the rates before the HM that were lower (33% and 50.1%, respectively) [13].…”

Section: Discussionmentioning

confidence: 82%

“…Optimal detection and diagnosis of the CUA is using combination of hysteroscopy, laparoscopy, 3D ultrasound, MRI and sonohysterosalpingography [9]. Hysteroscopy and laparoscopy is a standard, safe and minimally invasive method for precise detection, classification and treatment of uterine malformations [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

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Reproductive Outcome after Hysteroscopic Metroplasty in Patients with Infertility and Recurrent Pregnancy Loss

Tofoski

Georgievska

2014

Maced J Med Sci

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Introduction:Reproductive outcome can be negatively affected in patients with congenital uterine anomalies (CUA), increasing the number of unsuccessful pregnancies and obstetric complications. Compared with the population with normally formed uterus, patients with CUA have higher abortion rate, higher fetal loss rate and decreased live birth rate. Hysteroscopic metroplasty (HM) is a standard, safe and minimally invasive method for the treatment of correctible types of congenital uterine anomalies.Aim: The aim of the study was to analyze the reproductive outcome in group of patients with infertility and recurrent pregnancy loss and present CUA, before and after hysteroscopic metroplasty. Material and Methods:We analyzed 67 patients to whom 78 interventions hysteroscopic metroplasty were performed at the University Clinic of Obstetrics and Gynecology in Skopje during a two year period, between 01.01.2010 and 31.12.2011. Their reproductive outcome was monitored during a two-year period and the same group served as a control group, taking into account their previous reproductive history. Statistical analysis was performed using Chi-square test and p < 0.05 was considered to be statistically significant. Results:Most common CUA were types 5b and 6 represented by 88 %. In a follow up period of two years, 33 of the patients become pregnant. There was a statistically significant decrease of abortion rate from 92% to 21.2%, as well as an increase in the term delivery rate from 0% to 69.7%. Conclusion:Treatment with hysteroscopic metroplasty is significantly improving the reproductive outcome in patients with CUA and previous fetal loss.

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Laparoscopic excision of uterine adenomyomas

Cited by 33 publications

References 39 publications

MR-guided focused ultrasound for the treatment of adenomyosis: current insights

MR-guided focused ultrasound for the treatment of adenomyosis: current insights

Comparison of surgery alone and combined surgical-medical treatment in the management of symptomatic uterine adenomyoma

Reproductive Outcome after Hysteroscopic Metroplasty in Patients with Infertility and Recurrent Pregnancy Loss

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