Adenomyosis: a surgical approach and reproductive outcomes

Biryukova E.I., Rukhliada N.N., Krylov K.Yu.

1) Saint Petersburg State Pediatric Medical University, Ministry of Health of Russia; 2) I.I. Dzhanelidze Saint Petersburg Research Institute of Emergence Care, Russia
Adenomyosis is a benign uterine tumor process, a form of endometrioid disease. Surgical treatment for adenomyosis is still the matter of discussion by many authors; however, the principle of surgical interventions (excision of the myometrium affected by glandular invasion) remains unchanged. The paper considers main adenomyomectomy techniques and the results of surgical interventions in the aspect of women’s reproductive function. The authors also describe their original procedure for uterine suturing after performed surgical interventions.

Keywords

adenomyosis
adenomyomectomy
laparoscopy
laparotomy
pregnancy
uterine rupture

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Received 19.11.2018

Accepted 07.12.2018

About the Authors

Biryukova, Elena I., PhD, head of the Department of Gynecology №2, I.I. Dzhanelidze Saint Petersburg Research Institute of Emergence Care.
192242, Russia, St. Petersburg, Budapeshtskaya str. 3. Tel.: + 79112252131. E-mail: 79112252131@yandex.ru
Rukhliada, Nikolai N., MD, professor, chief researcher of the Department of Gynecology, I.I. Dzhanelidze Saint Petersburg Research Institute of Emergence Care;
head of the Department of Obstetrics and Gynecology with a course of pediatric gynecology, chief specialist, Saint Petersburg State Pediatric Medical University,
Ministry of Health of Russia. 192242, Russia, St. Petersburg, Budapeshtskaya str. 3. Tel.: + 79119132020. E-mail: nickolasr@mail.ru
Krylov, Kirill Yu., researcher, obstetrician-genicologist, I.I. Dzhanelidze Saint Petersburg Research Institute of Emergence Care.
192242, Russia, St. Petersburg, Budapeshtskaya str. 3. Tel.: + 79111687073. E-mail: drkrylov@mail.ru

For citation: Biryukova E.I., Rukhliada N.N., Krylov K.Yu. Adenomyosis: a surgical approach and reproductive outcomes. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; (5): 30-4. (in Russian)
https://dx.doi.org/10.18565/aig.2019.5.30-34

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