Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis  Hisao Osada, Sherman Silber, Toshiyuki.

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Presentation transcript:

Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis  Hisao Osada, Sherman Silber, Toshiyuki Kakinuma, Masaji Nagaishi, Keiichi Kato, Osamu Kato  Reproductive BioMedicine Online  Volume 22, Issue 1, Pages 94-99 (January 2011) DOI: 10.1016/j.rbmo.2010.09.014 Copyright © 2010 Reproductive Healthcare Ltd. Terms and Conditions

Figure 1 MRI demonstrating huge adenomyomatous uterus with intact endometrial cavity. Reproductive BioMedicine Online 2011 22, 94-99DOI: (10.1016/j.rbmo.2010.09.014) Copyright © 2010 Reproductive Healthcare Ltd. Terms and Conditions

Figure 2 Rubber tubing is placed widely around the proximal cervix, thus encompassing the uterine vessels and acting as a tourniquet. Reproductive BioMedicine Online 2011 22, 94-99DOI: (10.1016/j.rbmo.2010.09.014) Copyright © 2010 Reproductive Healthcare Ltd. Terms and Conditions

Figure 3 (A–F) Diagrammatic depiction of the stages of the triple-flap method. Reproductive BioMedicine Online 2011 22, 94-99DOI: (10.1016/j.rbmo.2010.09.014) Copyright © 2010 Reproductive Healthcare Ltd. Terms and Conditions

Figure 4 Clinical efficacy of adenomyomectomy by the triple-flap method. VAS=visual analogue scale. Reproductive BioMedicine Online 2011 22, 94-99DOI: (10.1016/j.rbmo.2010.09.014) Copyright © 2010 Reproductive Healthcare Ltd. Terms and Conditions

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