Treatment of adenomyomectomy in women with severe uterine adenomyosis using a novel technique

Saremi, A.T.; Bahrami, Hadi; Salehian, Pirooz; hakak, Nasrin; Pooladi, Arash

doi:10.1016/j.rbmo.2014.02.008

Cited by 78 publications

(62 citation statements)

References 22 publications

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“…reported that 30% of 70 patients who attempted pregnancy achieved a clinical pregnancy and 16 deliveries, and Kishi et al . reported a rate of 31.4% who tried to become pregnant after conservative surgical treatment . We had 14 cases of conception after adenomyomectomy, 12 in the laparotomic group (Table ) and 2 in the laparoscopic group; of the 14 pregnancies, 5 were by in vitro fertilization, and 9 were natural.…”

Section: Discussionmentioning

confidence: 99%

“…Saremi et al reported that 30% of 70 patients who attempted pregnancy achieved a clinical pregnancy and 16 deliveries, and Kishi et al reported a rate of 31.4% who tried to become pregnant after conservative surgical treatment. 15,16 We had 14 cases of conception after adenomyomectomy, 12 in the laparotomic group (Table 1) and 2 in the laparoscopic group; of the 14 pregnancies, 5 were by in vitro fertilization, and 9 were natural. Three patients miscarried in the first trimester due to missed abortions; these patients had histories of recurrent abortions, and thus, factors other than adenomyosis could have affected their miscarriages.…”

Section: Discussionmentioning

confidence: 99%

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Conservative surgery of uterine adenomyosis via laparoscopic versus laparotomic approach in a single institution

Kwack

Kwon

2018

J of Obstet and Gynaecol

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Conservative surgery of uterine adenomyosis via laparoscopic versus laparotomic approach in a single institution

Kwack

Kwon

2018

J of Obstet and Gynaecol

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“…Uterine rupture during pregnancy is one of the main shortcomings after uterine surgery for AD and was reported in two cases after extensive surgery . In another study, two of 23 pregnancies after cytoreductive surgery had rupture in the second trimester.…”

Section: Treatment Of Adenomyosis In the Infertile Patientsmentioning

confidence: 97%

“…These first reported studies comprised mostly complete excision of localized AD in younger women. Recent additional studies include women with extensive AD and older women . Kishi included 27 women more than 40 years old, i.e.…”

Section: Treatment Of Adenomyosis In the Infertile Patientsmentioning

confidence: 99%

Uterine adenomyosis and infertility, review of reproductive outcome after in vitro fertilization and surgery

Dueholm

2017

Acta Obstet Gynecol Scand

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This review includes an analysis of the clinical studies evaluating reproductive outcome and adenomyosis, and a review of studies on reproductive outcome and surgical treatment options for adenomyosis. Strict diagnostic criteria and classification of disease are needed for an image diagnosis of adenomyosis. Studies of in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) populations and women with surgically treated deep endometriosis have suggested that adenomyosis has a negative impact on reproductive outcome, although there are substantial variations between studies. Few data are available on the relation between the extent of disease and impact on reproductive outcome, but a correlation appears to exist. Case series seem to confirm a positive effect of gonadotropin-releasing hormone analog treatment and surgery on reproductive outcome, but there are no controlled trials. Evidence is impaired by the poor quality of many studies, a lack of strict image diagnosis, and the absence of a classification of the extent of disease. Selection of the optimal evidence-based treatment options for adenomyosis in the fertility clinic is difficult because of a lack of evidence regarding the relation between fertility and the degree and composition of adenomyosis. Adenomyosis may reduce implantation so severely that surgical or other treatment options should be recommended, but the benefit of these treatment options needs to be verified. Referral of women with adenomyosis and recurrent miscarriage and repeated failure of assisted reproductive technology to centers with a special interest in adenomyosis research and treatment may be critical.

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“…15 Multiple treatment modalities, including hormonal therapy with gonadotropinreleasing hormone (GnRH) agonists and conservative surgical procedures, for women with adenomyosis have been used to restore their fertility. Although successful pregnancies after prolonged downregulation with GnRH agonists 16,17 and conservative surgery have been reported, [18][19][20] there is no agreement on the most appropriate therapeutic method for managing infertile patients with adenomyosis.…”

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confidence: 99%

Clinical outcomes of infertility treatment for women with adenomyosis in Japan

Tamura

Kishi

Kitade

et al. 2017

Reprod Medicine & Biology

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AimA multicenter, retrospective survey was conducted in order to investigate the current clinical status of adenomyosis in Japan.MethodsThe questionnaires covered the management of infertile women with adenomyosis and the outcomes of infertility treatment in women with adenomyosis. The questionnaires were sent to 1149 facilities in Japan.ResultsThe data were obtained on 535 infertile women with adenomyosis from 190 facilities. Regarding management, infertility treatment was performed without pretreatment for adenomyosis in 37 facilities, after medication in eight facilities, and after an operation in four facilities. Management policies were not established in 106 facilities. Regarding outcomes, the pregnancy rate was 41.7% and the abortion rate was 29.8%. Eighty‐five patients received medication and 89 patients underwent surgery as a pretreatment before infertility treatment, while 361 patients had no pretreatment. In relation to the type of adenomyosis, 162 patients had the focal type and 336 patients had the diffuse type. The pregnancy rate and abortion rate were not affected by pretreatment or the type of adenomyosis.ConclusionThe management policy for infertile women with adenomyosis has not been established. The pregnancy rate of infertility treatment is about 40%. There were no data to suggest that medication or surgery as a pretreatment for adenomyosis increased the pregnancy rate in infertile women.

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Treatment of adenomyomectomy in women with severe uterine adenomyosis using a novel technique

Cited by 78 publications

References 22 publications

Conservative surgery of uterine adenomyosis via laparoscopic versus laparotomic approach in a single institution

Conservative surgery of uterine adenomyosis via laparoscopic versus laparotomic approach in a single institution

Uterine adenomyosis and infertility, review of reproductive outcome after in vitro fertilization and surgery

Clinical outcomes of infertility treatment for women with adenomyosis in Japan

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