A novel laparoscopic surgical technique for severe adenomyoma

摘要

Objectives: The aim of this study was to investigate the feasibility and safety of the treatment of laparoscopic adenomyomectomy for severe adenomyoma. Study design: The study included 216 patients with severe adenomyoma, who underwent a laparoscopic adenomyomectomy between January 2008 and September 2012 in the Department of Gynecology, Second People's Hospital of Changzhou, affiliated with Nanjing Medical University. Results: The mean age of the patients was 37 ( +/-3.3) years and the BMI was 26 ( +/-2.7). The volume of bleeding during surgery was 150.2 +/- 22.7 ml, the mean operative time was 60 +/- 48.6 minutes, the mean time for anal exhaust was one +/- 1.8 days, and the mean time of hospital stay was five +/- 1.2 days. During the surgeries, no bladder or bowel injuries occurred, and all the surgeries were completed successfully, with no conversions to open laparotomies. Of the 176 patients, 170 (96.6%) showed significant improvement in their dysmenorrheal symptoms after the surgeries, whereas six patients had a poor clinical outcome. Of the 157 patients,151 (96.2%) had an obvious effect on their menstrual cycle. Conclusions: Laparoscopic adenomyomectomy is feasible and safe for severe adenomyoma.