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Pregnancy outcome post surgery
< 39y > 40 y
NB 75 27
Pregn % 48% 22.2%
Abort 13.8 % 83.3%
Clinical pregn% 41.3% 3.7%
Who will benefit from uterus-sparing surgery in adenomyosis-
associated subfertility?
Yohei Kishi, M.D., Maki Yabuta, M.D., and Fumiaki Taniguchi, M.D. Fertil Steril 2014, 102; 3: 802-807
Hisao Osada Uterine adenomyosis and adenomyoma: the surgical approach Fertil Steril 2018; 109: 3: 406-417
Risk of uterine rupture:
23 reported ruptures ; incidence 0 –12.5 %
increased risk: diffuse form and performed by laparoscopy
(excessive coagulation; inappropriate closure; wound infection; hematoma formation; surgeons’skill )
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