The Outcome on Conservative Surgical Treatment of Adenomyosis
Objective: To understand the outcome on conservative surgical treatment of adenomyosis. Methods: A retrospective cohort study followed for 2 years from 2010 to 2012 of women with adenomyosis were diagnosed by transvaginal sonography and confirmed histologically. Subjects divided into women wh...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Indonesian Society of Obstetrics and Gynecology
2016-10-01
|
Series: | Indonesian Journal of Obstetrics and Gynecology |
Online Access: | http://inajog.com/index.php/journal/article/view/448 |
id |
doaj-2edd70f656f242b7b79ec269893c79c9 |
---|---|
record_format |
Article |
spelling |
doaj-2edd70f656f242b7b79ec269893c79c92021-06-02T08:53:10ZengIndonesian Society of Obstetrics and GynecologyIndonesian Journal of Obstetrics and Gynecology2338-64012338-73352016-10-0119820210.32771/inajog.v4i4.448448The Outcome on Conservative Surgical Treatment of AdenomyosisBudi Wiweko0Ario Legiantuko1Achmad Kemal2Gita Pratama3Herbert Situmorang4Kanadi Sumapraja5Muharam Natadisastra6Andon Hestiantoro7Faculty of Medicine Universitas Indonesia/ Dr. Cipto Mangunkusumo General Hospital JakartaFaculty of Medicine Universitas Indonesia/ Dr. Cipto Mangunkusumo General Hospital JakartaFaculty of Medicine Universitas Indonesia/ Dr. Cipto Mangunkusumo General Hospital JakartaFaculty of Medicine Universitas Indonesia/ Dr. Cipto Mangunkusumo General Hospital JakartaFaculty of Medicine Universitas Indonesia/ Dr. Cipto Mangunkusumo General Hospital JakartaFaculty of Medicine Universitas Indonesia/ Dr. Cipto Mangunkusumo General Hospital JakartaFaculty of Medicine Universitas Indonesia/ Dr. Cipto Mangunkusumo General Hospital JakartaFaculty of Medicine Universitas Indonesia/ Dr. Cipto Mangunkusumo General Hospital JakartaObjective: To understand the outcome on conservative surgical treatment of adenomyosis. Methods: A retrospective cohort study followed for 2 years from 2010 to 2012 of women with adenomyosis were diagnosed by transvaginal sonography and confirmed histologically. Subjects divided into women who were treated by adenomyosis resection (with/without Osada’s technique) and who were underwent hysterectomy. Results: After the surgery, as many as 40 patients (81.63%) did not feel any pain (VAS 0), and 9 patients (18.37%) still felt pain. For the fertility outcome, we had 8 patients (20.51%) getting pregnant naturally without any fertility intervention. Two patients (5.13%) had successfully conceived by IVF. According to the type of surgery, from 8 natural pregnancy, 7 patients (87.50%) was underwent conventional resection of adenomyosis and 1 patients (12.50%) underwent Osada’s procedures. Two patients who were conceived by IVF, both of them were underwent Osada’s resection. Conclusion: Adenomyosis resection both conservative or Osada’s procedures actually has a better outcome for relieving pain; therefore, some patients can still have a child. Keywords: adenomyosis resection, conventional resection, infertility, Osada’s procedurehttp://inajog.com/index.php/journal/article/view/448 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Budi Wiweko Ario Legiantuko Achmad Kemal Gita Pratama Herbert Situmorang Kanadi Sumapraja Muharam Natadisastra Andon Hestiantoro |
spellingShingle |
Budi Wiweko Ario Legiantuko Achmad Kemal Gita Pratama Herbert Situmorang Kanadi Sumapraja Muharam Natadisastra Andon Hestiantoro The Outcome on Conservative Surgical Treatment of Adenomyosis Indonesian Journal of Obstetrics and Gynecology |
author_facet |
Budi Wiweko Ario Legiantuko Achmad Kemal Gita Pratama Herbert Situmorang Kanadi Sumapraja Muharam Natadisastra Andon Hestiantoro |
author_sort |
Budi Wiweko |
title |
The Outcome on Conservative Surgical Treatment of Adenomyosis |
title_short |
The Outcome on Conservative Surgical Treatment of Adenomyosis |
title_full |
The Outcome on Conservative Surgical Treatment of Adenomyosis |
title_fullStr |
The Outcome on Conservative Surgical Treatment of Adenomyosis |
title_full_unstemmed |
The Outcome on Conservative Surgical Treatment of Adenomyosis |
title_sort |
outcome on conservative surgical treatment of adenomyosis |
publisher |
Indonesian Society of Obstetrics and Gynecology |
series |
Indonesian Journal of Obstetrics and Gynecology |
issn |
2338-6401 2338-7335 |
publishDate |
2016-10-01 |
description |
Objective: To understand the outcome on conservative surgical
treatment of adenomyosis.
Methods: A retrospective cohort study followed for 2 years from
2010 to 2012 of women with adenomyosis were diagnosed by
transvaginal sonography and confirmed histologically. Subjects divided
into women who were treated by adenomyosis resection
(with/without Osada’s technique) and who were underwent hysterectomy.
Results: After the surgery, as many as 40 patients (81.63%) did not
feel any pain (VAS 0), and 9 patients (18.37%) still felt pain. For the
fertility outcome, we had 8 patients (20.51%) getting pregnant naturally
without any fertility intervention. Two patients (5.13%) had
successfully conceived by IVF. According to the type of surgery, from
8 natural pregnancy, 7 patients (87.50%) was underwent conventional
resection of adenomyosis and 1 patients (12.50%) underwent
Osada’s procedures. Two patients who were conceived by IVF, both
of them were underwent Osada’s resection.
Conclusion: Adenomyosis resection both conservative or Osada’s
procedures actually has a better outcome for relieving pain; therefore,
some patients can still have a child.
Keywords: adenomyosis resection, conventional resection, infertility,
Osada’s procedure |
url |
http://inajog.com/index.php/journal/article/view/448 |
work_keys_str_mv |
AT budiwiweko theoutcomeonconservativesurgicaltreatmentofadenomyosis AT ariolegiantuko theoutcomeonconservativesurgicaltreatmentofadenomyosis AT achmadkemal theoutcomeonconservativesurgicaltreatmentofadenomyosis AT gitapratama theoutcomeonconservativesurgicaltreatmentofadenomyosis AT herbertsitumorang theoutcomeonconservativesurgicaltreatmentofadenomyosis AT kanadisumapraja theoutcomeonconservativesurgicaltreatmentofadenomyosis AT muharamnatadisastra theoutcomeonconservativesurgicaltreatmentofadenomyosis AT andonhestiantoro theoutcomeonconservativesurgicaltreatmentofadenomyosis AT budiwiweko outcomeonconservativesurgicaltreatmentofadenomyosis AT ariolegiantuko outcomeonconservativesurgicaltreatmentofadenomyosis AT achmadkemal outcomeonconservativesurgicaltreatmentofadenomyosis AT gitapratama outcomeonconservativesurgicaltreatmentofadenomyosis AT herbertsitumorang outcomeonconservativesurgicaltreatmentofadenomyosis AT kanadisumapraja outcomeonconservativesurgicaltreatmentofadenomyosis AT muharamnatadisastra outcomeonconservativesurgicaltreatmentofadenomyosis AT andonhestiantoro outcomeonconservativesurgicaltreatmentofadenomyosis |
_version_ |
1721406104848564224 |