Treatment of adenomyomectomy in women with severe uterine adenomyosis using a novel technique AboTaleb Saremi, Homa Bahrami, Pirooz Salehian, Nasrin.

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Presentation transcript:

Treatment of adenomyomectomy in women with severe uterine adenomyosis using a novel technique AboTaleb Saremi, Homa Bahrami, Pirooz Salehian, Nasrin Hakak, Arash Pooladi Reproductive BioMedicine Online Volume 28, Issue 6, Pages 753-760 (June 2014) DOI: 10.1016/j.rbmo.2014.02.008 Copyright © 2014 Reproductive Healthcare Ltd. Terms and Conditions

Figure 1 Ultrasound showing adenomyosis in one of the patients prior to surgery, showing adenomyiotic tissues in the anterior and posterior walls of the uterus (interval space between ‘+’ signs). Reproductive BioMedicine Online 2014 28, 753-760DOI: (10.1016/j.rbmo.2014.02.008) Copyright © 2014 Reproductive Healthcare Ltd. Terms and Conditions

Figure 2 Schematic images of the adenomyomectomy procedure. (A) Uterine body viewed from above. (B) Saggital incision of the uterus; yellow areas in the myometrium are the adenomyoma tissues. (C) Coronal section. (D–G) Adenomyosis resection steps. (H) Suturing and repair of the uterus without entering the endometrial cavity. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) Reproductive BioMedicine Online 2014 28, 753-760DOI: (10.1016/j.rbmo.2014.02.008) Copyright © 2014 Reproductive Healthcare Ltd. Terms and Conditions

Figure 3 Actual images of the adenomyomectomy procedure. (A) Uterine body. (B and C) Sagittal incision. (D–H) Adenomyosis resection. Reproductive BioMedicine Online 2014 28, 753-760DOI: (10.1016/j.rbmo.2014.02.008) Copyright © 2014 Reproductive Healthcare Ltd. Terms and Conditions

Figure 4 Histopathological images from an adenomyosis patient. Haematoxylin and eosin staining. Arrows indicate endometrial glands in the myometrium. Magnification: ×10 (A and C, bar 100μm), ×40 (B and D, bar 100μm). Reproductive BioMedicine Online 2014 28, 753-760DOI: (10.1016/j.rbmo.2014.02.008) Copyright © 2014 Reproductive Healthcare Ltd. Terms and Conditions

Figure 5 Post-operative ultrasound of an adenomyosis patient, showing normal endometrium and myometrium 2years after adenomyomectomy. Histological images are shown in Figure 4. Reproductive BioMedicine Online 2014 28, 753-760DOI: (10.1016/j.rbmo.2014.02.008) Copyright © 2014 Reproductive Healthcare Ltd. Terms and Conditions