Laparoscopic bilateral uterine artery ligation for adenomyosis uteri during ICSI
DOI:
https://doi.org/10.48047/66r1dd67Keywords:
Adenomyosis, Fertility, Ligation, Uterine arteryAbstract
Background: Adenomyosis is still a scientifically hard problem in gynecology; adenomyosis has an adverse influence on fertility and might need surgery if being pregnant is wanted.
Purpose: The goal of this study was to assess the effects of bilateral uterine arteries ligation in treating the adenomyosis symptoms and the possible reproductive outcomes Methods: This prospective pilot study involved (50) infertile adenomyosis uteri patients determined by ultrasound/ MRI and planned for Intracytoplasmic sperm injection (ICSI) technique. All patients laparoscopically ligated with hemoclips, and the bilateral uterine ovarian vessels were electrocoagulated, with follow-ups at three and six months for uterine volume, complaints, and adenomyosis scoring by ultrasound and MRI. ICSI was performed on six months after surgery in each patient, and the results were recorded.
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References
• Barbanti, C., Centini, G., Lazzeri, L., Habib, N., Labanca, L., Zupi, E., Afors, K., & Starace, A. C. (2021). Adenomyosis and infertility: the role of the junctional zone. Gynecological endocrinology: the official journal of the International Society of Gynecological
Endocrinology, 37(7), https://doi.org/10.1080/09513590.2021.1878131 577–583.
• Barbosa-Silva, J., Avila, M. A., de Oliveira, R. F., Dedicação, A. C., Godoy, A. G., Rodrigues, J. C., & Driusso, P. (2024). Prevalence, pain intensity and symptoms associated with primary dysmenorrhea: a cross-sectional study. BMC women's health, 24(1), 92. https://doi.org/10.1186/s12905-023-02878-z
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