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Effectiveness of Laparoscopic Adenomyomectomy on Perinatal Outcomes
OBJECTIVES: The objective of this study was to observe the influence of laparoscopic adenomyomectomy on perinatal outcomes. MATERIALS AND METHODS: The retrospective cohort study included 43 pregnant cases with adenomyosis who did not undergo laparoscopic surgery before pregnancy (nonsurgery group; 2...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683966/ https://www.ncbi.nlm.nih.gov/pubmed/38034106 http://dx.doi.org/10.4103/gmit.gmit_45_22 |
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author | Ono, Yosuke Ota, Hajime Fukushi, Yoshiyuki Tagaya, Hikaru Okuda, Yasuhiko Yoshino, Osamu Yamada, Hideto Hirata, Shuji Wada, Shinichiro |
author_facet | Ono, Yosuke Ota, Hajime Fukushi, Yoshiyuki Tagaya, Hikaru Okuda, Yasuhiko Yoshino, Osamu Yamada, Hideto Hirata, Shuji Wada, Shinichiro |
author_sort | Ono, Yosuke |
collection | PubMed |
description | OBJECTIVES: The objective of this study was to observe the influence of laparoscopic adenomyomectomy on perinatal outcomes. MATERIALS AND METHODS: The retrospective cohort study included 43 pregnant cases with adenomyosis who did not undergo laparoscopic surgery before pregnancy (nonsurgery group; 26 cases) and did (surgery group; 17 cases). To evaluate the impact of surgery on perinatal outcomes, nine obstetric complications including preterm delivery, hypertensive disorder of pregnancy, placental malposition, oligohydramnios, gestational diabetes mellitus, uterine rupture, abruptio placentae, and postpartum hemorrhage were selected. One obstetric complication was counted as one point (Maximum 9 points for one person). The obstetrical morbidity was compared by adding up the number of relevant events (0–9) between the two groups. Apgar score, umbilical artery pH (UApH), neonatal intensive care unit (NICU) admission, and neonatal death were also examined. RESULTS: The surgery group had a significantly lower prevalence of fetal growth restriction compared to the nonsurgery group (nonsurgery vs. surgery; 26.9%, 7/26 vs. 0%, 0/17: P = 0.031). No differences were found in the morbidity of the nine obstetric complications (19.2%, 45/234 vs. 13.7%, 21/153), gestational weeks (mean ± standard deviation, 37.2 ± 2.4 vs. 36.4 ± 3.2), birth weight (2573.6 ± 557.9 vs. 2555.4 ± 680.8 g), Apgar score (1, 5 min; 8.0 ± 0.7 vs. 7.7 ± 1.2, 8.9 ± 0.6 vs. 8.5 ± 1.8), UApH (7.28 ± 0.08 vs. 7.28 ± 0.06), NICU admission (26.9%, 7/26 vs. 41.2%, 7/17), and neonatal death (0%, 0%) between both groups. CONCLUSION: Laparoscopic adenomyomectomy may not increase obstetric complications, although attention must be paid to uterine rupture during pregnancy. |
format | Online Article Text |
id | pubmed-10683966 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-106839662023-11-30 Effectiveness of Laparoscopic Adenomyomectomy on Perinatal Outcomes Ono, Yosuke Ota, Hajime Fukushi, Yoshiyuki Tagaya, Hikaru Okuda, Yasuhiko Yoshino, Osamu Yamada, Hideto Hirata, Shuji Wada, Shinichiro Gynecol Minim Invasive Ther Original Article OBJECTIVES: The objective of this study was to observe the influence of laparoscopic adenomyomectomy on perinatal outcomes. MATERIALS AND METHODS: The retrospective cohort study included 43 pregnant cases with adenomyosis who did not undergo laparoscopic surgery before pregnancy (nonsurgery group; 26 cases) and did (surgery group; 17 cases). To evaluate the impact of surgery on perinatal outcomes, nine obstetric complications including preterm delivery, hypertensive disorder of pregnancy, placental malposition, oligohydramnios, gestational diabetes mellitus, uterine rupture, abruptio placentae, and postpartum hemorrhage were selected. One obstetric complication was counted as one point (Maximum 9 points for one person). The obstetrical morbidity was compared by adding up the number of relevant events (0–9) between the two groups. Apgar score, umbilical artery pH (UApH), neonatal intensive care unit (NICU) admission, and neonatal death were also examined. RESULTS: The surgery group had a significantly lower prevalence of fetal growth restriction compared to the nonsurgery group (nonsurgery vs. surgery; 26.9%, 7/26 vs. 0%, 0/17: P = 0.031). No differences were found in the morbidity of the nine obstetric complications (19.2%, 45/234 vs. 13.7%, 21/153), gestational weeks (mean ± standard deviation, 37.2 ± 2.4 vs. 36.4 ± 3.2), birth weight (2573.6 ± 557.9 vs. 2555.4 ± 680.8 g), Apgar score (1, 5 min; 8.0 ± 0.7 vs. 7.7 ± 1.2, 8.9 ± 0.6 vs. 8.5 ± 1.8), UApH (7.28 ± 0.08 vs. 7.28 ± 0.06), NICU admission (26.9%, 7/26 vs. 41.2%, 7/17), and neonatal death (0%, 0%) between both groups. CONCLUSION: Laparoscopic adenomyomectomy may not increase obstetric complications, although attention must be paid to uterine rupture during pregnancy. Wolters Kluwer - Medknow 2023-01-17 /pmc/articles/PMC10683966/ /pubmed/38034106 http://dx.doi.org/10.4103/gmit.gmit_45_22 Text en Copyright: © 2023 Gynecology and Minimally Invasive Therapy https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Ono, Yosuke Ota, Hajime Fukushi, Yoshiyuki Tagaya, Hikaru Okuda, Yasuhiko Yoshino, Osamu Yamada, Hideto Hirata, Shuji Wada, Shinichiro Effectiveness of Laparoscopic Adenomyomectomy on Perinatal Outcomes |
title | Effectiveness of Laparoscopic Adenomyomectomy on Perinatal Outcomes |
title_full | Effectiveness of Laparoscopic Adenomyomectomy on Perinatal Outcomes |
title_fullStr | Effectiveness of Laparoscopic Adenomyomectomy on Perinatal Outcomes |
title_full_unstemmed | Effectiveness of Laparoscopic Adenomyomectomy on Perinatal Outcomes |
title_short | Effectiveness of Laparoscopic Adenomyomectomy on Perinatal Outcomes |
title_sort | effectiveness of laparoscopic adenomyomectomy on perinatal outcomes |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683966/ https://www.ncbi.nlm.nih.gov/pubmed/38034106 http://dx.doi.org/10.4103/gmit.gmit_45_22 |
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