Recently, many of the patients who came for uterine preservation surgery had undergone laparoscopic excision of adenomyosis adenomyoma in other hospitals or local hospitals. The post-operative effect can be imagined, so I took advantage of today’s lunch break to compile this article: the effect of laparoscopy on the treatment of adenomyosis, hoping to give some warning to adenomyosis adenomyoma patients who plan to have laparoscopic surgery, and hoping that adenomyosis patients who seek medical help around can take less detours “How effective is laparoscopy in treating adenomyosis? What kind of results can be achieved? Will it recur?” To understand these questions, first we should understand laparoscopy, understand adenomyosis, adenomyoma. Laparoscopy A laparoscope is an instrument with a miniature camera. Laparoscopy is a procedure performed with a laparoscope and its associated instruments: a cold light source is used to provide illumination, a laparoscopic lens (3-10 mm in diameter) is inserted into the abdominal cavity, and the images captured by the laparoscopic lens are transmitted via optical fibers to a back-end signal processing system and displayed in real time on a special monitor. The surgeon then analyzes the patient’s condition and performs the surgery with special laparoscopic instruments by using images of the patient’s organs from different angles displayed on the monitor screen. Nowadays, the most advanced laparoscopy is a single-hole laparoscopy, which is performed on the navel of the human body to avoid leaving long scars in the abdominal area of the patient, and it can be said to be a small invasive and painful operation, so some people also call it a “keyhole” operation. The development of laparoscopic surgery has reduced the pain of the patient’s incision, shortened the patient’s recovery period, and relatively reduced the patient’s expenses, making it a rapidly developing surgical procedure in recent years. Adenomyosis, adenomyoma The normal endometrium grows only on the surface of the uterine cavity, while adenomyosis is a condition in which the endometrium grows beyond the surface of the uterine cavity and invades the myometrium, forming a lesion called adenomyosis. If the lesion is confined to one area, it becomes an adenomyoma. Adenomyosis, like adenomyoma, does not have a clear color boundary with the normal tissue of the myometrium, which means that if you look at it alone, you cannot tell which are adenomyosis and adenomyoma and which are normal myometrial tissue. The reason why I don’t recommend laparoscopic adenomyosis surgery is because the laparoscope is not able to enter the abdominal cavity, but can only distinguish the lesions by looking at the monitor. There is no obvious border with the normal muscle layer, and it is not one by one like myoma. Therefore, for diffuse adenomyosis, it is impossible to remove all the lesions with laparoscopy because they are distributed in many places in the uterus, which makes it difficult to suture the uterus. The most important point is that it is not easy to distinguish between normal muscle tissue and lesions, so there is no way to remove the lesions, which may cause painful menstruation even after laparoscopic surgery. I performed adenomyosis-conserving surgery on adenomyosis patients from Fuzhou, Jiangxi, and Xiangyang, Hubei, on August 31 and August 20, respectively. When I asked about the treatment experience, I learned that both of them had undergone laparoscopic excision of adenomyoma and laparoscopic surgery. Because of the recent surgery, I have a deep memory of the experience of Ms. Li in Fuzhou, Jiangxi, who did not have children yet and had menstrual pain 8 years ago, but it was tolerable at that time, and by 7 years ago, because of the need for fertility, she went to the hospital for 6 shots of GNRH treatment, but she stopped taking the medicine for 1 month for her menstrual flow and still had menstrual pain. Six years ago, she underwent laparoscopic excision of adenomyoma, probably because she thought it would be easier to get rid of the large adenomyoma and get pregnant, but her menstrual pain did not improve and she was not able to conceive a child without contraception. Moreover, her uterus had reached 106×98×88mm before the uterus-preserving surgery, which shows that laparoscopic excision does not play any role in the treatment of adenomyosis and adenomyoma. Although minimally invasive for people is less damage, but increase a chance of surgery, will be more injury, do you think so? Of course, today’s talk about laparoscopy is only for adenomyosis and adenomyoma. It does not include the application of laparoscopy in other fields. In other fields, laparoscopy still has many advantages, such as small trauma, fast recovery, small postoperative abdominal wall poke holes (ranging from 3-10mm), dispersion and concealment, and no aesthetic impact after healing. And so on. That is why it is widely used in the medical industry.