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A New Surgical Method of U-Shaped Myometrial Excavation and Modified Suture Approach with Uterus Preservation for Diffuse Adenomyosis
Joint Authors
Jun-Min, Xie
Kun-Peng, Zhu
Yin-Kai, Zhao
Ya-Qin, Zhang
Xiao-Fan, Fan
Xiao-Yu, Zhu
Li, Wei
Bin, Wang
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-09
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
To evaluate the feasibility, safety, and efficacy of a new surgical method of U-shaped myometrial excavation and modified suture approach with uterus preservation for diffuse adenomyosis.
Methods.
From January 2012 to December 2014, 198 patients with diffuse adenomyosis were surgically treated using this novel procedure in Zhengzhou Hua-Shan Hospital.
Degree of dysmenorrhea, menstrual blood volume, serum CA 125, and uterine size before and at 1 month, 3 months, 6 months, 12 months, and 24 months after surgery were compared.
Results.
Postoperatively, VAS score of dysmenorrhea, menstrual blood volume, serum CA 125 level, and uterine size significantly decreased at 1 month, 3 months, 6 months, 12 months, and 24 months from presurgical levels (all p < .001), but there were no differences at the follow-up time points.
Two patients recurred at 18 months and 23 months after surgery, but both recovered after repeat surgery.
Interestingly, 2 other patients recrudesced at 10 months and 12 months after surgery.
In addition, only one patient was found to have a postoperative anaemia with fever, conservatively managed without surgery.
Conclusion.
U-shaped myometrial excavation and modified suture approach with uterus preservation is a safe and feasible surgical approach to treat diffuse adenomyosis, with favourable outcomes.
American Psychological Association (APA)
Jun-Min, Xie& Kun-Peng, Zhu& Yin-Kai, Zhao& Ya-Qin, Zhang& Xiao-Fan, Fan& Xiao-Yu, Zhu…[et al.]. 2018. A New Surgical Method of U-Shaped Myometrial Excavation and Modified Suture Approach with Uterus Preservation for Diffuse Adenomyosis. BioMed Research International،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1124555
Modern Language Association (MLA)
Jun-Min, Xie…[et al.]. A New Surgical Method of U-Shaped Myometrial Excavation and Modified Suture Approach with Uterus Preservation for Diffuse Adenomyosis. BioMed Research International No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1124555
American Medical Association (AMA)
Jun-Min, Xie& Kun-Peng, Zhu& Yin-Kai, Zhao& Ya-Qin, Zhang& Xiao-Fan, Fan& Xiao-Yu, Zhu…[et al.]. A New Surgical Method of U-Shaped Myometrial Excavation and Modified Suture Approach with Uterus Preservation for Diffuse Adenomyosis. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1124555
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1124555