Robot-Assisted Laparoscopic Adenomyomectomy for Patients Who Want to Preserve Fertility.
10.3349/ymj.2016.57.6.1531
- Author:
Youn Jee CHUNG
1
;
So Yeon KANG
;
Mi Rang CHOI
;
Hyun Hee CHO
;
Jang Heub KIM
;
Mee Ran KIM
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul, Korea. mrkim@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Robotic surgical procedure;
adenomyosis;
surgery;
fertility preservation;
minimally invasive surgery
- MeSH:
Adenomyoma;
Adenomyosis;
Animals;
Dysmenorrhea;
Female;
Fertility Preservation;
Fertility*;
Follow-Up Studies;
Humans;
Laparoscopy;
Magnetic Resonance Imaging;
Mice;
Minimally Invasive Surgical Procedures;
Myometrium;
Pelvic Pain;
Robotic Surgical Procedures;
Seoul;
Single Person;
Ultrasonography
- From:Yonsei Medical Journal
2016;57(6):1531-1534
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
