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Updated: Feb 7, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
A novel laparoscopic surgical technique for severe adenomyoma
Abstract:
Qbjctives: The aim of this study was to investigate the feasibility and safety of the treatment of laparoscopic adenomyomectomy for severe adenomyoma.
Study Design:
The study included 216 patients with severe adenomyoma, who underwent a laparoscopic adenomyomectomy between January 2008 and September 2012 in the Department of Gynecology, Second People's Hospital of Changzhou, affiliated with Nanjing Medical University.
Results:
The mean age of the patients was 37 (± 3.3) years and the BMI was,26 (± 2.7). The volume of bleeding during surgery was 150.2 ± 22.7 ml, the mean operative time was 60 ±48.6 minutes, the mean time for anal ex- haust was one ±1.8 days, and the mean time of hospital stay was five ±1.2 days. During the surgeries, no bladder or bowel injuries occurred, and all the surgeries were completed successfully, with no conversions to open laparotomies. Of the 176 patients, 170 (96.6%) showed significant improvement in their dysmenorrheal symptoms after the surgeries, whereas six patients had a poor clinical outcome. Of the 157 patients,151 (96.2%) had an obvious effect on their menstrual cycle. Concluitons: Laparoscopic adenomyomectomy is feasible and safe for severe adenomyoma.
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