IMR Press / CEOG / Volume 43 / Issue 5 / DOI: 10.12891/ceog2153.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
A novel laparoscopic surgical technique for severe adenomyoma
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1 Department of Gynecology, The Second People’s Hospital of Changzhou, affiliated with Nanjing Medical University, Changzhou (China)
Clin. Exp. Obstet. Gynecol. 2016, 43(5), 656–660; https://doi.org/10.12891/ceog2153.2016
Published: 10 October 2016
Abstract

Objectives: The aim of this study was to investigate the feasibility and safety of the treatment of laparoscopic adenomyomectomy for severe adenomyoma. Study design: The study included 216 patients with severe adenomyoma, who underwent a laparoscopic adenomyomectomy between January 2008 and September 2012 in the Department of Gynecology, Second People’s Hospital of Changzhou, affiliated with Nanjing Medical University. Results: The mean age of the patients was 37 (± 3.3) years and the BMI was 26 (± 2.7). The volume of bleeding during surgery was 150.2 ± 22.7 ml, the mean operative time was 60 ± 48.6 minutes, the mean time for anal exhaust was one ± 1.8 days, and the mean time of hospital stay was five ± 1.2 days. During the surgeries, no bladder or bowel injuries occurred, and all the surgeries were completed successfully, with no conversions to open laparotomies. Of the 176 patients, 170 (96.6%) showed significant improvement in their dysmenorrheal symptoms after the surgeries, whereas six patients had a poor clinical outcome. Of the 157 patients,151 (96.2%) had an obvious effect on their menstrual cycle. Conclusions: Laparoscopic adenomyomectomy is feasible and safe for severe adenomyoma.
Keywords
Laparoscopic adenomyomectomy
Adenomyoma
Adenomyosis
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