title: The effect of adenomyosis on the outcomes of laparoscopic hysterectomy.
abstract: OBJECTIVE
  The presence of adenomyosis (ADS) may increase complication rates associated with laparoscopic hysterectomy (LH) due to an increased weight of the uterus, increased vascularization of the uterus, impaired myometrial tissue, and presence of additional gynecological pathologies such as leiomyoma or endometriosis. The aim of the present study was to evaluate perioperative and early postoperative parameters in patients with or without adenomyotic lesions.
  
  
  METHODS
  The study included patients who underwent LH in a university hospital. Patient data were retrieved from the hospital records and reviewed retrospectively. Sixty-one patients (85.9%) without adenomyotic lesions comprised the control group. Ten patients with adenomyotic lesions (14.1%) were regarded as the study group.
  
  
  RESULTS
  In this study, the mean age of the patients was 50.93±9.39 years. The mean uterus size was significantly higher in patients with ADS (p=0.02). There was no statistically significant difference in perioperative variables such as delta hemoglobin (Hb), insertion of pelvic drainage catheter, and invasive assessment of the urinary tract between both the groups (p=0.27, p=1.0, and p=0.67, respectively). The difference between the groups in terms of postoperative blood transfusion was not statistically significant (p=0.25). There was no statistically significant difference in the postoperative maximum body temperature, length of hospital stay, and duration of urinary catheterization between both the groups (p=0.77, p=0.36, and p=0.75, respectively).
  
  
  CONCLUSIONS
  LH appears to be a safe alternative for patients with ADS. Large-scale, prospective, and randomized trials are required in order to suggest the routine use of LH in patients preoperatively diagnosed with ADS.
authors.affiliation: Department of Obstetrics and Gynecology, Düzce University School of Medicine, Düzce, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Yavuzcan
authors.affiliation: Department of Obstetrics and Gynecology, Düzce University School of Medicine, Düzce, Turkey.
authors.forename: Alper
authors.initials: A
authors.lastname: Başbuğ
authors.affiliation: Department of Obstetrics and Gynecology, Düzce University School of Medicine, Düzce, Turkey.
authors.forename: Merve
authors.initials: M
authors.lastname: Baştan
authors.affiliation: Department of Obstetrics and Gynecology, Düzce University School of Medicine, Düzce, Turkey.
authors.forename: Mete
authors.initials: M
authors.lastname: Çağlar
authors.affiliation: Department of Obstetrics and Gynecology, Düzce University School of Medicine, Düzce, Turkey.
authors.forename: İsmail
authors.initials: İ
authors.lastname: Özdemir
keywords: Adenomyosis; laparoscopic hysterectomy; outcomes