Contemporary Methods of Operative Treatment of Severe Adenomyosis

Tskhay, V.B.; Tcygankova, N.Y.

doi:10.20333/25000136-2016-2-22-31

Cited by 7 publications

(2 citation statements)

References 6 publications

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“…We questioned the women about their life quality before and after operation. Most of them answered-«very satisfied», no one was «dissatisfied» (Table 2) [11].…”

Section: Global Journal Of Reproductive Medicine Resultsmentioning

confidence: 99%

“…Moreover, endometriosis has been shown to be a disease that cannot be cured easily and therefore can be regarded as a chronic disease in many women [15][16][17]. The surgical approach for preserving the uterus has become more popular, partly because some patients want to preserve their future fertility, and their dysmenorrhea does not respond to drug treatment [5,8,10,11]. In our view, surgical triple-flap method of adenomyosis for the patients with diffuse adenomyosisis currently is the best one, especially targeted for infertile women, wishing to conceive.…”

Section: Discussionmentioning

confidence: 99%

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Combined Results of New Surgery Approach and Hormone Therapy with Massive Diffuse Forms of Adenomyosis

Tskhay

2018

GJORM

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The advised treatment for severe adenomyosis is hysterectomy, but the patients wishing to preserve their uterus were operated with a novel conservative surgery, called adenomyomectomy. The history of this new surgery approach dates back to 2011 when Japanese Professor Hisao Osada worked it out and applied this new method of surgery for his patients. Adenomyomectomy, in this method, suggests radically excised adenomyotic tissues and reconstructed uterine wall by a triple-flap method, without overlapping suture lines, to prevent uterine rupture in subsequent pregnancies. This is a prospective case series followed for 6 years from October 2012 to January 2018 of 26 women with massive diffuse adenomyosis verified histologically and diagnosed with ultrasound. 18 women of 26 wished to conceive; 3 patients became spontaneous pregnant and delivered healthy babies. There were no cases of uterine rupture. Adenomyosis symptoms did not recur in all 26 cases. Thus, our experience of intraoperative radical resection of adenomyotic tissues suggests that this technique may be a surgery of the patient's choice, especially for women of reproductive age with diffuse adenomyosis, we use it for those aging ones who wish to preserve the uterus.

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“…We questioned the women about their life quality before and after operation. Most of them answered-«very satisfied», no one was «dissatisfied» (Table 2) [11].…”

Section: Global Journal Of Reproductive Medicine Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Combined Results of New Surgery Approach and Hormone Therapy with Massive Diffuse Forms of Adenomyosis

Tskhay

2018

GJORM

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Operation, hormone therapy and recovery of the patients with severe forms of adenomyosis

Tskhay

Schindler²,

Микаиллы

2018

Gynecological Endocrinology

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Endometriosis is among the prevalent gynecological diseases and diagnosed in 10% of women of reproductive age. Endometriosis/adenomyosis is becoming increasingly a health-social problem, which is associated with severe clinical manifestations and recurrent disease which has a negative effect on quality of life, women ability to work and her reproductive function. This article presents modern approaches of drug therapy to treat severe forms of adenomyosis. We have reviewed recent major studies in the field of surgical treatment of this disease, analyzed the main stages of disease progress and the results of our surgeries. Here, we are presenting our own results of long-term post-operative hormonal therapy and complex medical treatment.

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Pregnancy and labor after radical adenomyomectomy and metroplasty using the procedure developedby Hisao Osada in women with diffuse adenomyosis associated with infertility

Цхай¹,

Микаиллы²,

Костарева³

et al. 2019

Ross. vestn. akush.-ginekol.

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Contemporary Methods of Operative Treatment of Severe Adenomyosis

Cited by 7 publications

References 6 publications

Combined Results of New Surgery Approach and Hormone Therapy with Massive Diffuse Forms of Adenomyosis

Combined Results of New Surgery Approach and Hormone Therapy with Massive Diffuse Forms of Adenomyosis

Operation, hormone therapy and recovery of the patients with severe forms of adenomyosis

Pregnancy and labor after radical adenomyomectomy and metroplasty using the procedure developedby Hisao Osada in women with diffuse adenomyosis associated with infertility

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