Possibilities of organ-sparing surgery for adenomyosis in the context of reproductive function preservation
Reproductive function is one of the major functions from the point of view of women’s health. The problem of choosing a rational surgical tactic for adenomyosis remains relevant at the present time. The lack of consensus on the possibilities of organ-sparing surgical treatment and the relationship of its results to the clinical and morphological form of the disease requires in-depth study of this issue. This review article summarizes the authors’ own and international experience with breast-sparing surgery for adenomyosis. It comparatively analyzes the efficiency of some operations to restore or preserve the reproductive function of patients.Rukhlyada N.N., Krylov K.Yu., Biryukova E.I.
Keywords
adenomyosis
reproductive function
Osada adrenal myometrectomy
gonadotropin-releasing hormone agonists
References
1. Pelage L., Fenomanana S., Brun J.L., Levaillant J.M., Fernandez H. Treatment of adenomyosis (excluding pregnancy project). Gynecol. Obstet. Fertil. 2015; 43(5): 404-11.
2. Адамян Л.В., Кулаков В.И., Андреева Е.Н. Эндометриозы. М.: Медицина; 2006. 416c. [Adamyan L.V., Kulakov V.I., Andreeva E.N. Endometriosis. Moscow: Meditsina; 2006. 416p. (in Russian)]
3. Стрижаков А.Н., Давыдов А.И., Пашков В.М. Аденомиоз: возможности и перспективы эндохирургического лечения с учетом морфологического строения миометрия, эндометрия и яичников. Журнал акушерства и женских болезней. 2002; 51(3): 28-31. [Strizhakov A.N., Davyidov A.I., Pashkov V.M. Adenomyosis: the possibilities and prospects of endosurgical treatment, taking into account the morphological structure of the myometrium, endometrium and ovaries. Zhurnal akusherstva i zhenskih bolezney. 2002; 51(3): 28-31.
4. Рухляда Н.Н. Диагностика и лечение манифестного аденомиоза. Цвелев Ю.В., ред. СПб.: ЭЛБИ-СПБ; 2004. 205с. [Ruhlyada N.N. Diagnosis and treatment of manifest adenomyosis. Tsvelev Yu.V., ed. St. Petersburg: ELBI-SPB; 2004. 205p. (in Russian)]
5. Богуславская Д.В., Lebovic D.I. Эндометриоз и бесплодие. Проблемы репродукции. 2011; 17(2): 69-74. [Boguslavskaya D.V., Lebovic D.I. Endometriosis and infertility. Problemyi reproduktsii. 2011;17(2): 69-74.
6. Дамиров М.М., Слюсарь Н.Н. Современные подходы к лечению больных аденомиозом. Вопросы гинекологии, акушерства и перинатологии. 2011; 10(3): 45-9. [Damirov M.M., Slyusar N.N. Modern approaches to the treatment of patients with adenomyosis. Voprosyi ginekologii, akusherstva i perinatologii. 2011; 10(3): 45-9. (in Russian)]
7. Стрижаков А.Н., Давыдов А.И., Пашков В.М., Лебедев В.А., Клиндухов И.А. Миометрэктомия - метод выбора органосберегающего лечения больных аденомиозом при больших размерах матки. Вопросы гинекологии, акушерства и перинатологии. 2007; 6(5): 109-16. [Strizhakov A.N., Davyidov A.I., Pashkov V.M., Lebedev V.A., Klinduhov I.A. Myometromectomy is the method of choosing an organ-saving treatment for patients with adenomyosis for large uterine sizes. Voprosyi ginekologii, akusherstva i perinatologii. 2007; 6(5): 109-16. (in Russian)]
8. Grimbizis G.F., Mikos T., Tarlatzis B. Uterus-sparing operative treatment for adenomyosis. Fertil. Steril. 2014; 101(2): 472-87.
9. Nishida M., Takano K., Arai Y., Ozone H., Ichikawa R. Conservative surgical management for diffuse uterine adenomyosis. Fertil. Steril. 2010; 94(2): 715-9.
10. Yang Z., Cao Y.D., Hu L.N., Wang Z.B. Feasibility of laparoscopic high-intensity focused ultrasound treatment for patients with uterine localized adenomyosis. Fertil. Steril. 2009; 91(6): 2338-43.
11. Osada H., Silber S., Kakinuma T., Nagaishi M., Kato K., Kato O. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis. Reprod. Biomed. Online. 2011; 22(1): 94-9.
12. Huang X., Huang Q., Chen S., Zhang J., Lin K., Zhang X. Efficacy of laparoscopic adenomyomectomy using double-flap method for diffuse uterine adenomyosis. BMC Womens Health. 2015; 15: 24.
13. Панкратов В.В., Карпова И.О., Белоцерковцева Л.Д., Давыдов А.И., Пашков В.М. Патогенетическое обоснование лечения больных аденомиозом в репродуктивном периоде. Вопросы гинекологии, акушерства и перинатологии. 2011; 10(2): 33-8. [Pankratov V.V., Karpova I.O., Belotserkovtseva L.D., Davyidov A.I., Pashkov V.M. Pathogenetic substantiation of treatment of patients with adenomyosis in the reproductive period. Voprosyi ginekologii, akusherstva i perinatologii. 2011; 10(2): 33-8. (in Russian)]
14. Koch J., Rowan K., Rombauts L., Yazdani A., Chapman M., Johnson N. Endometriosis and infertility — a consensus statement from ACCEPT (Australasian CREI Consensus Expert Panel on Trial evidence). Aust. N. Z. J. Obstet. Gynaecol. 2012; 52(6): 513-22.
15. Rosenthal D.M., Mills K.E. A case for adenomyomectomy. J. Minim. Invasive Gynecol. 2015; 22(6, Suppl.): S134.
16. Tsai B.P., McKenna J.B., Alanazy R., Rosen D., Cario G., Chou D. Laparoscopic modification of the osada technique for adenomyomectomy. J. Minim. Invasive Gynecol. 2015; 22(6, Suppl.): S126-7.
17. Макаренко Т.А., Цхай В.Б. Опыт органосохраняющего хирургического лечения больных с тяжелыми формами аденомиоза. Журнал акушерства и женских болезней. 2016; 65(5): 96-9. [Makarenko T.A., Tshay V.B. Experience of organ-preserving surgical treatment of patients with severe forms of adenomyosis. Zhurnal akusherstva i zhenskih bolezney. 2016; 65(5): 96-9. (in Russian)]
18. Saremi A., Bahrami H., Salehian P., Hakak N., Pooladi A. Treatment of adenomyomectomy in women with severe uterine adenomyosis using a novel technique. Reprod. Biomed. Online. 2014; 28(6): 753-60.
Received 30.11.2017
Accepted 22.12.2017
About the Authors
Nikolai N. Rukhlyada, MD, Professor, Chief Scientific Officer of the Gynecology Department, I.I. Gianadidze St. Petersburg Scientific Research Institute of Emergency Care; Deputy Head of the Department of Obstetrics and Gynecology with the course of pediatric gynecology, Chief Specialist of the State Educational Institution of Higher Professional Education of St. Petersburg State Medical University, Ministry of Health of Russia.192242, Russia, St. Petersburg, Budapeshtskaya str. 3. Tel.: +79119132020. E-mail: nickolasr@mail.ru
Kirill Yu. Krylov, Junior Research Fellow, Gynecology Department, Doctor obstetrician-gynecologist of the department of gynecology № 2, I.I. Gianadidze St. Petersburg Scientific Research Institute of Emergency Care. 192242, Russia, St. Petersburg, Budapeshtskaya str. 3. Tel.: +79111687073. E-mail: drkrylov@mail.ru
Biryukova Elena Igorevna, Candidate of Medical Sciences, Head of the Department of Gynecology No. 2, I.I. Gianadidze St. Petersburg Scientific Research Institute
of Emergency Care. 192242, Russia, St. Petersburg, Budapeshtskaya str. 3. Tel.: +79112252131. E-mail: 79112252131@mail.ru
For citations: Rukhlyada N.N., Krylov K.Yu., Biryukova E.I. Possibilities of organ-sparing surgery for adenomyosis in the context of reproductive function preservation. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (7): 120-4. (in Russian)
https://dx.doi.org/10.18565/aig.2018.7.120-124
Similar Articles
