Robot-Assisted Laparoscopic Adenomyomectomy for Patients Who Want to Preserve Fertility.
An adenomyomectomy is a conservative-surgical option for preserving fertility. Conventional laparoscopic adenomyomectomies present difficulties in adenomyoma removal and suturing of the remaining myometrium. Robot-assisted laparoscopic surgery could overcome the limitations of conventional laparoscopic surgery. Four patients with severe secondary dysmenorrhea and pelvic pain visited Seoul St. Mary's Hospital and were diagnosed with adenomyosis by pelvic ultrasonography and pelvic magnetic resonance imaging (MRI). The four patients were unmarried, nulliparous women, who desired a fertility-preserving treatment. We performed robot-assisted laparoscopic adenomyomectomies. The dysmenorrhea and pelvic pain of the patients nearly disappeared after surgery. No residual adenomyosis was observed on the follow-up pelvic MRI. A robot-assisted laparoscopic adenomyomectomy was feasible, and could be a minimally invasive surgical option for fertility-sparing treatment in patients with adenomyosis.
Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Youn Jee
YJ
Chung
Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
So Yeon
SY
Kang
Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Mi Rang
MR
Choi
Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Hyun Hee
HH
Cho
Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Jang Heub
JH
Kim
Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea. mrkim@catholic.ac.kr.
Mee Ran
MR
Kim
D018194:Adenomyoma; D062788:Adenomyosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D004412:Dysmenorrhea; D005260:Female; D005298:Fertility; D059247:Fertility Preservation; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D009215:Myometrium; D017699:Pelvic Pain / Q000000981:diagnostic imaging* / Q000601:surgery; D012371:Robotics; D016896:Treatment Outcome
Robotic surgical procedure; adenomyosis; fertility preservation; minimally invasive surgery; surgery