Laparoscopic excision of uterine adenomyomas

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Laparoscopic excision of uterine adenomyomas Grigoris F. Grimbizis, M.D., Ph.D., Themistoklis Mikos, M.D., M.Sc., Leonidas Zepiridis, M.D., Ph.D., Theodoros Theodoridis, M.D., Ph.D., Dimosthenis Miliaras, M.D., Ph.D., Basil C. Tarlatzis, M.D., Ph.D., John N. Bontis, M.D., Ph.D.  Fertility and Sterility  Volume 89, Issue 4, Pages 953-961 (April 2008) DOI: 10.1016/j.fertnstert.2007.04.063 Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Technique of intramural adenomyoma excision. (UPPER LEFT) Careful inspection of the uterus for the recognition of the position and the borders of the adenomyoma. (UPPER RIGHT) Longitudinal incision of the uterine serosa with the monopolar diathermy along the lesion. (MIDDLE) Dissection of the adenomyoma with attention to secure hemostasis with the use of scissors and monopolar and/or bipolar diathermy. (LOWER LEFT) Closure of the uterine wall in one or two suture layers. (LOWER RIGHT) The uterus at the end of the procedure. Fertility and Sterility 2008 89, 953-961DOI: (10.1016/j.fertnstert.2007.04.063) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Endometrial glands of varying shapes embedded in abundant endometrial stroma are surrounded by smooth muscle bundles (hematoxylin and eosin; ×50). Fertility and Sterility 2008 89, 953-961DOI: (10.1016/j.fertnstert.2007.04.063) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

Figure 3 Endometrial tubular glands embedded in abundant endometrial stroma are surrounded by smooth muscle bundles (hematoxylin and eosin; ×100). Fertility and Sterility 2008 89, 953-961DOI: (10.1016/j.fertnstert.2007.04.063) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions