Laparoscopic excision of uterine adenomyomas.
OBJECTIVE
To present a series of six consecutive women with adenomyomas who were successfully managed with a standard treatment strategy to elucidate the feasibility and the effectiveness of laparoscopic treatment of adenomyomas.


METHODS
Cross-sectional case series.


METHODS
Obstetrics and gynecology department of a tertiary academic hospital and endoscopic unit of a private hospital.


METHODS
The six cases described in this report were nonpregnant women of reproductive age (mean age, 34.8 years old; range, 29-38 years) who presented in the outpatient gynecological clinic for yearly routine visit (one patient), dysmenorrhea and menorrhagia (three patients), and history of pregnancy loss (two patients).


METHODS
Laparoscopic excision of uterine adenomyomas.


METHODS
Feasibility and effectiveness of laparoscopic management of adenomyomas.


RESULTS
The average operating time was 100.5 minutes, and the average estimated blood loss was 163 mL. No event complicated the intraoperative and the postoperative course of these cases, and no case was converted to laparotomy. The mean follow-up was 13.7 months, with complete regression of the symptoms.


CONCLUSIONS
Excision of adenomyomas presents intraoperative peculiarities involving difficulties in their dissection and manipulation. Laparoscopic management of these lesions appears to be safe and feasible with good follow-up results and limited recurrence rates.
Grimbizis
Grigoris F
GF
First Department of Obstetrics and Gynecology, Medical Faculty, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece. grimbi@med.auth.gr
Mikos
Themistoklis
T
Zepiridis
Leonidas
L
Theodoridis
Theodoros
T
Miliaras
Dimosthenis
D
Tarlatzis
Basil C
BC
Bontis
John N
JN
D000022:Abortion, Spontaneous / Q000209:etiology / Q000601:surgery; D018194:Adenomyoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000568:Amenorrhea / Q000209:etiology / Q000601:surgery; D003430:Cross-Sectional Studies; D004412:Dysmenorrhea / Q000209:etiology / Q000601:surgery; D005240:Feasibility Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D011247:Pregnancy; D012008:Recurrence; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*