Can I have minimally invasive surgery for adenomyosis and then have uterine preservation surgery? The answer is definitely yes: you can, you just need to space it out for a certain amount of time to give the uterus time to recuperate. The patient who asks this question must have had minimally invasive surgery and then experienced a series of painful symptoms. Minimally invasive surgery, it is accepted by both doctors and patients for its advantages of less surgical trauma, less pain, and faster recovery. For example, minimally invasive laparoscopic surgery in the field of gynecology, also known as “keyhole” surgery, is widely used in clinical treatment. The original need for open abdominal surgery, the original need for open abdominal surgery, now in the patient’s navel and lower abdomen, cut a few millimeters wide mouth, with the help of chopsticks thick and thin advanced medical equipment can carry out surgery. However, what I want to say today is that minimally invasive surgery is not a panacea, and the most appropriate and best surgery is the one that can maximize the patient’s pain and suffering. Minimally invasive surgery is effective in treating certain gynecological diseases. For example, ectopic pregnancy, uterine diaphragm, blocked fallopian tube, and some cyst surgeries are very effective. However, summarizing a large number of clinical cases, for the gynecological disease of adenomyosis, the effect of minimally invasive treatment is not ideal, only a slight reduction of symptoms after the operation, still have dysmenorrhea, and dysmenorrhea recurs one or two years after the operation, which is often seen. Why? One, the focal tissues of adenomyosis are diffuse, filling different corners of the uterus and varying in size. Secondly, minimally invasive surgery is limited by the field of vision, the lesions can not be completely dug out, there are a large number of lesions of the tissue remains, there is still the “culprit” of pain exists. It is like an ice cream, you just dig away a small spoon, an apple bite, meaning little, the end can not end the fundamental problem, most of the lesion tissue is still there. In fact, as a clinician who has been performing adenomyosis surgery for many years, one of the more frustrating things for us is that many patients with adenomyosis come to our hospital for U+ surgery after having had surgery in other hospitals. How can we say this? Every surgery is traumatizing, and when we do it again, it makes the surgery somewhat more difficult. For adenomyosis treatment, some minimally invasive surgeries can turn from “minimally invasive” to “massively invasive” if they are not properly chosen, for example, sometimes the surgical operation may increase the possibility of adhesions. In the U+ procedure, we add a bio-anti-adhesive film to reduce the formation of adhesions. But after all, multiple surgeries are still damaging to our bodies. So you say, can we still do our U+ surgery? Yes, of course it can be done, no problem. It’s just that the work that needs to be done for our surgery is a bit more complicated compared to those patients who have not had surgery. First, if the lesion is sutured during the surgery without being cleaned up, adhesions may form in some of the tissues. We need to separate this part of the adhesion when we do the surgery, and start the U+ surgery after the separation. For patients who have undergone multiple surgeries, the adhesions formed may also damage the surrounding organs. Then we need to use bio-anti-mucosa to protect the surrounding organs. 3. There must be a certain interval between the two surgeries. If you have undergone adenomyosis related surgery in a foreign hospital and the result is unsatisfactory, and you want to come to our hospital for adenomyosis uterus preservation U + surgery, we suggest that you wait until your body has fully recovered to consider doing uterus preservation + surgery, which is all possible. However, we still advise our patients not to treat blindly. Blind treatment will only increase your pain. Like our contact with a large number of cases patients expressed, minimally invasive surgery, Hai Fu focusing surgery, after doing, in addition to less menstrual flow after surgery, or how to pain or how to pain, the pain has not been greatly relieved. Moreover, we have found that there is no way to repair part of the endothelium destroyed during minimally invasive surgery. In treating the disease and relieving the patient’s suffering, we will not pursue “non-invasive, minimally invasive” treatment. Instead, we will consider how to minimize the trauma and solve the problem. The best treatment is the one that can maximize the relief of the patient.