Laparoscopic assisted small incision in the abdominal wall for removal of adenomyoma

  Adenomyoma is a common and frequent disease in women, which seriously endangers the quality of life and health. Adenomyoma belongs to the category of endometriosis, and the lesions are mainly in the uterine body. Causes: Endometrial implantation, including invasive growth from the abdominal cavity into the uterus to form adenomyoma, implantation of endometrium in situ into the myometrium, and metaplasia of the interstitial tissue of the uterine smooth muscle tissue. Adenomyoma differs from smooth muscle tumor in that smooth muscle tumor has a distinct envelope with clear borders and can be easily removed, whereas adenomyoma has no distinct boundary with the myometrium and is quite difficult to remove surgically.  The treatment of adenomyoma is very tricky. Conservative methods include medication and the use of the Manned Ring, but the results are poor in some patients, and the side effects of medication make it impossible for most patients to persist. Periodic abdominal pain is severe and the sensation of cramping seriously affects life and work. Other therapies such as uterine artery embolization, microwave or ultrasound ablation, etc. also have the disadvantages of unsatisfactory results and high risks, which are often difficult for patients to accept. The radical treatment of surgical (open or laparoscopic) hysterectomy is very effective, but for young patients the removal of the uterus can cause serious psychological problems and even affect the family and marriage in some patients. For patients with severe anemia caused by heavy menstrual flow and long periods, hysteroscopic endoelectric hysterectomy can be used, and menstruation basically stops after the operation. However, dysmenorrhea and bleeding from the myometrium cannot be improved, and our medical group has treated several patients with hematoma and severe dysmenorrhea in the posterior wall of the uterus after endoelectrolysis.  This year, through literature and scientific evidence, our group has developed a new surgical treatment method, laparoscopic-assisted adenomyomectomy, which has achieved excellent results.  This procedure has the following advantages: 1. The uterus can be preserved intact, and the trauma of the uterus can be well closed.  2. It can remove the adenomyoma to the maximum extent.  3. It has all the advantages of minimally invasive surgery.  4.Significantly less surgical bleeding than open surgery.