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Updated: Mar 29, 2026

Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation

Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation

Published on: January 17, 2019

Robot-Assisted Laparoscopic Versus Open Adenomyomectomy: Comparative Surgical and Reproductive Outcomes.

Jung Hyun Park¹, Jae-Yen Song¹, Mee-Ran Kim¹

¹Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Soule St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.

Journal of Clinical Medicine

|March 28, 2026

Summary

Robot-assisted laparoscopic adenomyomectomy offers reduced blood loss and shorter recovery compared to open surgery for symptomatic adenomyosis. This uterus-sparing treatment also shows favorable reproductive and obstetric outcomes.

Keywords:

adenomyomectomy adenomyosis fertility preservation minimally invasive surgical procedures robotic surgical procedures uterine diseases

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Published on: August 19, 2025

Area of Science:

Minimally Invasive Surgery
Gynecologic Surgery
Reproductive Medicine

Background:

Adenomyosis is a common gynecological condition causing significant symptoms.
Uterus-sparing surgical options are crucial for women desiring fertility preservation.
Open adenomyomectomy has limitations, prompting investigation into advanced surgical techniques.

Purpose of the Study:

To compare surgical and reproductive outcomes of open adenomyomectomy (OA) versus robot-assisted laparoscopic adenomyomectomy (RLA).
To evaluate the efficacy and safety of RLA as a uterus-sparing treatment for symptomatic adenomyosis.

Main Methods:

Prospective cohort study including 76 premenopausal women with symptomatic adenomyosis.
Comparison between patients undergoing OA (n=21) and RLA (n=55).
Outcomes assessed included surgical parameters, blood loss, hospitalization, and reproductive/obstetric results.

Main Results:

RLA group had significantly shorter hospitalization (p < 0.001) and less estimated blood loss (p = 0.05) than OA.
Fewer intraoperative endometrial exposures were noted in the RLA cohort (10.0% vs. 55.6%, p = 0.033).
Comparable overall delivery rates, but RLA group showed more favorable obstetric outcomes, including full-term deliveries.

Conclusions:

Robot-assisted laparoscopic adenomyomectomy is associated with reduced blood loss and shorter recovery compared to open surgery.
RLA demonstrates favorable reproductive and obstetric outcomes, supporting its role in uterus-sparing management of adenomyosis.
Robot-assisted surgery offers a valuable alternative for women with symptomatic adenomyosis seeking fertility preservation.