title: Successful total laparoscopic cystic adenomyomectomy after unsuccessful open surgery using transtrocar ultrasonographic guiding.
abstract: A 27-year-old woman with a cystic adenomyoma located within the myometrium underwent laparotomy unsuccessfully, with persistent postoperative heavy dysmenorrhea. Total laparoscopic resection of the cystic adenomyoma was then attempted. Intraoperative transtrocar ultrasonography was used to detect the location and boundaries of the cystic adenomyoma. The cyst was removed laparoscopically, and dysmenorrhea completely disappeared postoperatively. This is the first report of total laparoscopic resection of cystic adenomyoma after unsuccessful laparotomy, a minimally invasive approach that successfully eliminated the patient's severe signs and symptoms.
authors.affiliation: Department of Obstetrics and Gynecology, at Iwate Prefectural Iwai Hospital, Iwate, Japan. nabe-akt@umin.ac.jp
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nabeshima
authors.forename: Takashi
authors.initials: T
authors.lastname: Murakami
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Nishimoto
authors.forename: Noboru
authors.initials: N
authors.lastname: Sugawara
authors.forename: Naoko
authors.initials: N
authors.lastname: Sato
mesh_terms: D018194:Adenomyoma / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D018450:Disease Progression; D004412:Dysmenorrhea / Q000601:surgery*; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy; D017211:Treatment Failure; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*