Cargando…

Laparoscopic Adenomyomectomy under Real-Time Intraoperative Ultrasound Elastography Guidance: A Case Series and Feasibility Study

Background: This study aimed to examine the clinical characteristics of 11 patients undergoing laparoscopic adenomyomectomy guided by intraoperative ultrasound elastography and this technique’s feasibility. Patients and Methods: Eleven patients undergoing laparoscopic adenomyomectomy using ultrasoun...

Descripción completa

Detalles Bibliográficos
Autores principales: Ota, Yoshiaki, Ota, Kuniaki, Takahashi, Toshifumi, Morimoto, Yumiko, Suzuki, Soichiro, Sano, Rikiya, Shiota, Mitsuru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9693154/
https://www.ncbi.nlm.nih.gov/pubmed/36431184
http://dx.doi.org/10.3390/jcm11226707
_version_ 1784837464239636480
author Ota, Yoshiaki
Ota, Kuniaki
Takahashi, Toshifumi
Morimoto, Yumiko
Suzuki, Soichiro
Sano, Rikiya
Shiota, Mitsuru
author_facet Ota, Yoshiaki
Ota, Kuniaki
Takahashi, Toshifumi
Morimoto, Yumiko
Suzuki, Soichiro
Sano, Rikiya
Shiota, Mitsuru
author_sort Ota, Yoshiaki
collection PubMed
description Background: This study aimed to examine the clinical characteristics of 11 patients undergoing laparoscopic adenomyomectomy guided by intraoperative ultrasound elastography and this technique’s feasibility. Patients and Methods: Eleven patients undergoing laparoscopic adenomyomectomy using ultrasound elastography for adenomyosis at Kawasaki Medical School Hospital in Okayama, Japan between March 2020 and February 2021 were enrolled. Operative outcomes included operative time, operative bleeding, resected weight, operation complications, percent change in hemoglobin (Hb) values, and uterine volume pre- and postoperatively. Dysmenorrhea improvement was evaluated by changes in visual analog scale (VAS) scores pre- and 6- and 12-months postoperatively. Results: The median operative time and bleeding volume was 125 min (range, 88–188 min) and 150 mL (10–450 mL), respectively. The median resected weight was 5.0 g (1.5–180 g). No intraoperative or postoperative blood transfusions or perioperative complications were observed. The median changes in uterine volume, Hb value, and VAS score were −49% (−65 to −28%), −3% (−11 to 35%), and −80% (−100 to −50%), respectively. The median follow-up period post-surgery was 14 months (7–30 months). Adenomyosis recurrence was not observed in the patients during the follow-up period. Conclusions: Laparoscopic adenomyomectomy using ultrasound elastography guidance is minimally invasive and resects as many adenomyotic lesions as possible.
format Online
Article
Text
id pubmed-9693154
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-96931542022-11-26 Laparoscopic Adenomyomectomy under Real-Time Intraoperative Ultrasound Elastography Guidance: A Case Series and Feasibility Study Ota, Yoshiaki Ota, Kuniaki Takahashi, Toshifumi Morimoto, Yumiko Suzuki, Soichiro Sano, Rikiya Shiota, Mitsuru J Clin Med Article Background: This study aimed to examine the clinical characteristics of 11 patients undergoing laparoscopic adenomyomectomy guided by intraoperative ultrasound elastography and this technique’s feasibility. Patients and Methods: Eleven patients undergoing laparoscopic adenomyomectomy using ultrasound elastography for adenomyosis at Kawasaki Medical School Hospital in Okayama, Japan between March 2020 and February 2021 were enrolled. Operative outcomes included operative time, operative bleeding, resected weight, operation complications, percent change in hemoglobin (Hb) values, and uterine volume pre- and postoperatively. Dysmenorrhea improvement was evaluated by changes in visual analog scale (VAS) scores pre- and 6- and 12-months postoperatively. Results: The median operative time and bleeding volume was 125 min (range, 88–188 min) and 150 mL (10–450 mL), respectively. The median resected weight was 5.0 g (1.5–180 g). No intraoperative or postoperative blood transfusions or perioperative complications were observed. The median changes in uterine volume, Hb value, and VAS score were −49% (−65 to −28%), −3% (−11 to 35%), and −80% (−100 to −50%), respectively. The median follow-up period post-surgery was 14 months (7–30 months). Adenomyosis recurrence was not observed in the patients during the follow-up period. Conclusions: Laparoscopic adenomyomectomy using ultrasound elastography guidance is minimally invasive and resects as many adenomyotic lesions as possible. MDPI 2022-11-12 /pmc/articles/PMC9693154/ /pubmed/36431184 http://dx.doi.org/10.3390/jcm11226707 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ota, Yoshiaki
Ota, Kuniaki
Takahashi, Toshifumi
Morimoto, Yumiko
Suzuki, Soichiro
Sano, Rikiya
Shiota, Mitsuru
Laparoscopic Adenomyomectomy under Real-Time Intraoperative Ultrasound Elastography Guidance: A Case Series and Feasibility Study
title Laparoscopic Adenomyomectomy under Real-Time Intraoperative Ultrasound Elastography Guidance: A Case Series and Feasibility Study
title_full Laparoscopic Adenomyomectomy under Real-Time Intraoperative Ultrasound Elastography Guidance: A Case Series and Feasibility Study
title_fullStr Laparoscopic Adenomyomectomy under Real-Time Intraoperative Ultrasound Elastography Guidance: A Case Series and Feasibility Study
title_full_unstemmed Laparoscopic Adenomyomectomy under Real-Time Intraoperative Ultrasound Elastography Guidance: A Case Series and Feasibility Study
title_short Laparoscopic Adenomyomectomy under Real-Time Intraoperative Ultrasound Elastography Guidance: A Case Series and Feasibility Study
title_sort laparoscopic adenomyomectomy under real-time intraoperative ultrasound elastography guidance: a case series and feasibility study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9693154/
https://www.ncbi.nlm.nih.gov/pubmed/36431184
http://dx.doi.org/10.3390/jcm11226707
work_keys_str_mv AT otayoshiaki laparoscopicadenomyomectomyunderrealtimeintraoperativeultrasoundelastographyguidanceacaseseriesandfeasibilitystudy
AT otakuniaki laparoscopicadenomyomectomyunderrealtimeintraoperativeultrasoundelastographyguidanceacaseseriesandfeasibilitystudy
AT takahashitoshifumi laparoscopicadenomyomectomyunderrealtimeintraoperativeultrasoundelastographyguidanceacaseseriesandfeasibilitystudy
AT morimotoyumiko laparoscopicadenomyomectomyunderrealtimeintraoperativeultrasoundelastographyguidanceacaseseriesandfeasibilitystudy
AT suzukisoichiro laparoscopicadenomyomectomyunderrealtimeintraoperativeultrasoundelastographyguidanceacaseseriesandfeasibilitystudy
AT sanorikiya laparoscopicadenomyomectomyunderrealtimeintraoperativeultrasoundelastographyguidanceacaseseriesandfeasibilitystudy
AT shiotamitsuru laparoscopicadenomyomectomyunderrealtimeintraoperativeultrasoundelastographyguidanceacaseseriesandfeasibilitystudy