title: Laparoscopic excision of myometrial adenomyomas in patients with adenomyosis uteri and main symptoms of severe dysmenorrhea and hypermenorrhea.
abstract: Preoperative magnetic resonance imaging accurately diagnosed adenomyosis uteri in three women. We performed laparoscopic excision of myometrial adenomyomas and localized portions of adenomyosis uteri in all women in whom the disorder was accompanied by severe dysmenorrhea and hypermenorrhea. We used the same procedure as for laparoscopic myomectomy. There were no intraoperative or postoperative complications, and patients were hospitalized only 3 days. The women's dysmenorrhea and hypermenorrhea disappeared by the end of the first postoperative menses.
authors.affiliation: 1st Department of Obstetrics and Gynecology, Toho University School of Medicine, Tokyo, Japan.
authors.forename: Mineto
authors.initials: M
authors.lastname: Morita
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Asakawa
authors.forename: Masahito
authors.initials: M
authors.lastname: Nakakuma
authors.forename: Harumi
authors.initials: H
authors.lastname: Kubo
mesh_terms: D018194:Adenomyoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D004412:Dysmenorrhea / Q000209:etiology*; D004715:Endometriosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008279:Magnetic Resonance Imaging; D008595:Menorrhagia / Q000209:etiology*; D009215:Myometrium; D014591:Uterine Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D020535:Video-Assisted Surgery