A novel technique for myometrial defect closure after robot-assisted laparoscopic adenomyomectomy: A retrospective cohort study

Taiwanese Journal of Obstetrics & Gynecology

Minji Ko¹  Jae Yen Song¹  Heejin Kang¹  Mee-Ran Kim¹  Ayah Hijazi¹  Sanha Lee¹  Youn-Jee Chung¹  Najeeba Sinan² 

[1] Department of Obstetrics and Gynecology, Fibroid Center, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-Gu, Seoul, 06591, Republic of Korea;Department of Obstetrics and Gynecology, Qatif Central Hospital, Ministry of Health, Dhahran Jubail Branch Road, Al Iskan, Al Qatif 32654, Saudi Arabia;

关键词: Adenomyomectomy;    Adenomyosis;    Robot-assisted laparoscopy;   

DOI  :  

来源: DOAJ

【 摘 要 】

Objective: To introduce our novel technique for myometrial defect closure after adenomyomectomy. Materials and methods: A retrospective cohort study. A total of 40 patients with adenomyosis who visited our clinic between October 2012 and January 2018 were recruited. Of those 34 patients were eligible for analysis. Results: The mean thickness of the affected uterine wall before surgery was 4.02 cm ± 1.11, dropping to 2.37 cm ± 0.84 postoperatively. This led to a mean drop of 41% in the thickness of the affected wall, which was found to be significant using a paired t-test (p < 0.0001). The mean preoperative pain score was 8.68 ± 1.12, while the postoperative mean was 0.06 ± 0.34. The mean preoperative CA 125 was 121.73 ± 117.29, dropping to 6.95 ± 2.60 postoperatively. This was found to be significantly lower using both the Wilcoxon Signed Rank and Sign tests (p = 0.0156). Conclusion: Myometrial defect closure in a layer-by-layer fashion after robot-assisted laparoscopic adenomyomectomy is a reproducible technique. This uterine conserving method was effective in reducing our patients’ pain. It may be the solution to maintaining adequate myometrial wall thickness, uterine layer alignment, and endometrial integrity.

【 授权许可】

Unknown