Laparoscopic Excision of Myometrial Adenomyomas in Patients with Adenomyosis Uteri and Main Symptoms of Severe Dysmenorrhea and Hypermenorrhea

Laparoscopic excision of uterine adenomyomas

“…Morita et al described the successful laparoscopic excision of such lesions in women with dysmenorrhea and meno-/metrorrhagia. The symptoms disappeared in all women after their first menses, indicating complete and successful treatment (43). Similarly, the two women in our series who were preoperatively symptomatic with a similar clinical picture had no further symptoms during at least 24 months of follow-up.…”

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

“…The standard conservative surgical approach has been excision of the myometrial adenomyoma through exploratory laparotomy, but the results have been varied (12,13). The development of advanced techniques has led to other, less invasive conservative surgical approaches, including endomyometrial ablation, laparoscopic myometrial electrocoagulation, and laparoscopic surgery (14)(15)(16)(17). In addition, uterine artery embolization has also been available in the management of women with adenomyoma or adenomyosis (18)(19)(20)(21)(22)(23).…”

“…In addition, uterine artery embolization has also been available in the management of women with adenomyoma or adenomyosis (18)(19)(20)(21)(22)(23). All conservative surgical treatments have been proven effective in up to 50% of patients (12)(13)(14)(15); however, the follow-up assessment periods have been of short duration (12)(13)(14)(15)17).…”

Operative Therapie der Endometriose

“…durch eine transvaginale Sonographie unter peritonealer Hydratation mit physiologischer Kochsalzlösung überwacht. Morita et al [32] beschreiben die erfolgreiche laparoskopische Therapie ohne intra-und postoperative Komplikationen mit kurzer Aufenthaltsdauer.…”