The effect of adenomyosis on the outcomes of laparoscopic hysterectomy

Yavuzcan, Ali; Başbuğ, Alper; Baştan, Merve; Çağlar, Mete; Özdemir, İsmail

doi:10.5152/jtgga.2016.16073

Cited by 7 publications

(5 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the 49 patients, 24.5% (12/49) experienced relapse at the end of the follow-up period. The mean diagnosis of recurrence occurred 18.5 ( 6 –34) months after resection. Of the 12 patients who relapsed, seven patients were in the mild or no pain group and 5 were in the moderate pain group at 6 months of follow-up.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Recurrence‑associated factors of laparoscopic adenomyomectomy for severely symptomatic adenomyoma

Liu

et al. 2018

Oncol Lett

View full text Add to dashboard Cite

The present study aimed to identify which patients with adenomyoma would benefit from sparing the uterus and which patients should undergo a hysterectomy to avoid secondary surgery. Patients with pathology-proven adenomyoma admitted to Beijing Chao-Yang Hospital between November 2005 and November 2015 were retrospectively reviewed. Relief and reappearance of dysmenorrhea following laparoscopic adenomyomectomy were evaluated. All 49 patients (mean age, 40.6±5.2 years; age range, 26–51 years) presented with severe dysmenorrhea prior to surgery. Dysmenorrhea was identified to be relieved in 83.7% (41/49) of patients at the 6-month follow-up. No factors were revealed to have a significant effect on the surgical outcome. The median follow-up period was 4.6 (1–11) years; and 24.5% (12/49) of patients experienced recurrence of dysmenorrhea. Multivariate analysis identified preoperative serum cancer antigen 125 (CA 125) levels [hazard ratio (HR), 2.356; 95% confidence interval (CI), 1.271–3.570; P=0.011], postoperative gonadotropin-releasing hormone agonist (GnRH-a) treatment (HR, 0.540; 95% CI, 0.241–0.873; P=0.017) and accompanying endometriosis (HR, 2.182; 95% CI, 1.556–3.031; P=0.003) as independent risk factors for relapse. Laparoscopic adenomyomectomy is effective for alleviating dysmenorrhea in patients with adenomyoma. Patients with lower preoperative serum CA 125 levels without accompanying endometriosis benefited greater from adenomyomectomy compared with all other patients. Postoperative GnRH-a treatment strengthens therapeutic effects.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Unfortunately, the effects are often transient, and symptoms and signs usually reappear when therapy is stopped ( 5 ). For decades, hysterectomy was the most popular therapeutic option for patients with symptomatic adenomyosis ( 6 , 7 ). Hysterectomy may be a curative treatment, but it is not acceptable to all women ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Recurrence‑associated factors of laparoscopic adenomyomectomy for severely symptomatic adenomyoma

Liu

et al. 2018

Oncol Lett

View full text Add to dashboard Cite

show abstract

“…According to the results of a modified Delphi procedure on revised definitions of morphological uterus sonographic assessment (MUSA) features of adenomyosis, affected uteri may exhibit a globular shape, often making them larger than healthy uteri 2,50 . Several studies have indicated increased surgical times and a higher risk of surgical complications when adenomyosis is present at the time of hysterectomy or when larger uteri are excised 51–54 . Therefore, postpartum hysterectomy with adenomyosis may be more challenging due to technical demands, resulting in elevated postpartum maternal risks.…”

Section: Discussionmentioning

confidence: 99%

“…2,50 Several studies have indicated increased surgical times and a higher risk of surgical complications when adenomyosis is present at the time of hysterectomy or when larger uteri are excised. [51][52][53][54] Therefore, postpartum hysterectomy with adenomyosis may be more challenging due to technical demands, resulting in elevated postpartum maternal risks. However, drawing direct links between surgical complexity and postpartum complications is hindered by the lack of information on specific surgery characteristics and complications (e.g., surgical time, intraoperative organ injuries).…”

Section: Recently Martone Et Al Hypothesized That Adenomyosis Maymentioning

confidence: 99%

Adenomyosis among patients undergoing postpartum hysterectomy for uncontrollable uterine bleeding: A multicenter, observational, retrospective, cohort study on histologically‐based prevalence and clinical characteristics

Giorgi,

Raimondo,

Pacifici

et al. 2024

Intl J Gynecology & Obste

View full text Add to dashboard Cite

ObjectiveTo assess the prevalence of adenomyosis at pathologic examination, and its association with obstetric complications, peripartum maternal clinical characteristics and neonatal birth weight in patients undergoing postpartum hysterectomy due to postpartum hemorrhage (PPH).MethodsA multicenter, observational, retrospective, cohort study was carried out including all women who underwent postpartum hysterectomy due to PPH at gestational week 23+0 or later, between January 2010 and May 2023. Patients were categorized into two groups based on the presence of adenomyosis at pathologic examination, and were compared for obstetric complications, peripartum maternal clinical characteristics, and neonatal birth weight.ResultsThe histologically‐based prevalence of adenomyosis in patients undergoing postpartum hysterectomy due to PPH was 39.4%. Adenomyosis was associated with a longer hospitalization time (regression coefficient: 4.43 days, 95% CI: 0.34–8.52, P = 0.034) and a higher risk of hypertensive disorders (OR: 5.82, 95% CI: 1.38–24.46, P = 0.016), threatened preterm labor (OR: 3.34, 95% CI: 1.08–10.31, P = 0.036), urgent/emergency C‐section (OR: 24.15, 95% CI: 2.60–223.96, P = 0.005), postpartum maternal complications (OR: 4.96, 95% CI: 1.48–16.67, P = 0.012), maternal intensive care unit admission (OR: 3.56, 95% CI: 1.05–12.05, P = 0.041), and low birth weight neonates (OR: 3.8, 95% CI: 1.32–11.02, P = 0.013).ConclusionIn patients undergoing postpartum hysterectomy due to PPH, adenomyosis is a highly prevalent condition among, and is associated with adverse obstetric, maternal, and neonatal outcomes.

show abstract

“…It might be a possible way to place drainage in all the patients and measure the amount of drained bleeding after surgery for the estimation of genuine blood loss, but this approach is still uncertain [14, 15]. Recently, some researchers have used computer imaging to detect the bleeding point [16].…”

Section: Discussionmentioning

confidence: 99%

Gynecologists May Underestimate the Amount of Blood Loss during Total Laparoscopic Hysterectomy

Sato

Koizumi

Inaba

et al. 2018

Obstetrics and Gynecology International

View full text Add to dashboard Cite

Background We considered the possibility of underestimation of the amount of bleeding during laparoscopic surgery, and we investigated comparing the amount of bleeding between laparoscopic surgery and open surgery by considering the concentration of hemoglobin before and after surgery as indicators. Methods The following procedures were included: A, surgery for ovarian tumor; B, myomectomy; and C, hysterectomy either by laparoscopic surgery or open surgery. Patients who underwent the above procedures in between January 1, 2010, and December 31, 2017, were enrolled. We identified 1749 cases (A: 90, B: 105, and C: 325 of open surgery and A: 667, B: 437, and C: 125 of laparoscopic surgery). We considered the sum as an estimation of blood loss during surgery and the change in the value of hemoglobin in laboratory testing one day before and after surgery. Results During laparoscopic surgery, the measurements of blood loss included the following: A: 59.8 ml; B: 168.6 ml; and C: 206.8 ml. During open surgery, measurements of blood loss included the following: A: 130.7 ml; B: 236.7 ml; and C; 280.9 ml. The reduction of hemoglobin after surgery compared with that before surgery was less in laparoscopic surgery than that in open surgery in A and B; however, this reduction was not significantly different in C. Conclusion Our results suggest that the estimation of the bleeding in A and B was appropriate; however, the estimation might be underestimated in C during laparoscopic surgery.

show abstract

The effect of adenomyosis on the outcomes of laparoscopic hysterectomy

Cited by 7 publications

References 26 publications

Recurrence‑associated factors of laparoscopic adenomyomectomy for severely symptomatic adenomyoma

Recurrence‑associated factors of laparoscopic adenomyomectomy for severely symptomatic adenomyoma

Adenomyosis among patients undergoing postpartum hysterectomy for uncontrollable uterine bleeding: A multicenter, observational, retrospective, cohort study on histologically‐based prevalence and clinical characteristics

Gynecologists May Underestimate the Amount of Blood Loss during Total Laparoscopic Hysterectomy

Contact Info

Product

Resources

About