Document Detail


Use of laparoscopic cytoreductive surgery to treat infertile women with localized adenomyosis.
MedLine Citation:
PMID:  16806205     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We report on two infertile women with localized adenomyosis who had successful pregnancies after treatment with laparoscopic cytoreductive surgery. DESIGN: Case report. SETTING: Tertiary care university hospital. PATIENT(S): Two infertile women with localized adenomyosis. INTERVENTION(S): Laparoscopic excision of adenomyotic lesion with/without subsequent hypoestrogenic agent was performed. MAIN OUTCOME MEASURE(S): Pregnancy. RESULT(S): Hypoestrogenic agent with danazol was administered 3 months immediately after surgery in one woman. Both women conceived spontaneously at 30 and 21 months after surgery, respectively. The pregnancies were uneventful, and healthy infants were delivered via cesarean section at term. CONCLUSION(S): Laparoscopic cytoreductive surgery can be an alternative treatment to the use of hypoestrogenic agents or hysterectomy in women with localized adenomyosis, especially for those who want to maintain their fertility and achieve successful pregnancies. Patients may wait up to 21 months after surgery until a pregnancy occurs.
Authors:
Chin-Jung Wang; Leung-To Yuen; Shuenn-Dyh Chang; Chyi-Long Lee; Yung-Kuei Soong
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-06-27
Journal Detail:
Title:  Fertility and sterility     Volume:  86     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-02     Completed Date:  2006-08-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  462.e5-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Division of Gynecologic Endoscopy, Chang Gung Memorial Hospital, Kwei-Shan Tao-Yuan, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Danazol / therapeutic use*
Endometriosis / complications*,  surgery*
Estrogen Antagonists / therapeutic use*
Female
Humans
Infant, Newborn
Infertility, Female / drug therapy,  etiology*
Laparoscopy*
Male
Postoperative Care*
Pregnancy
Treatment Outcome
Chemical
Reg. No./Substance:
0/Estrogen Antagonists; 17230-88-5/Danazol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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