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Phillips DR, Nathanson HG, Milim SJ, et al. Laparoscopic Bipolar Coagulation for the Conservative Treatment of Adenomyomas. J Am Assoc Gynecol Laparosc. 1996;3(4):S39doi: 10.1016/s1074-3804(96)80268-4.
Phillips, D. R., Nathanson, H. G., Milim, S. J., & Haselkorn, J. S. (1996). Laparoscopic Bipolar Coagulation for the Conservative Treatment of Adenomyomas. The Journal of the American Association of Gynecologic Laparoscopists, 3(4), S39. https://doi.org/10.1016/s1074-3804(96)80268-4
Phillips, et al. "Laparoscopic Bipolar Coagulation for the Conservative Treatment of Adenomyomas." The Journal of the American Association of Gynecologic Laparoscopists vol. 3,4 (1996): S39. doi: https://doi.org/10.1016/s1074-3804(96)80268-4
Phillips DR, Nathanson HG, Milim SJ, Haselkorn JS. Laparoscopic Bipolar Coagulation for the Conservative Treatment of Adenomyomas. J Am Assoc Gynecol Laparosc. 1996 Aug;3(4):S39. doi: 10.1016/s1074-3804(96)80268-4. PMID: 9074212.
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J Am Assoc Gynecol Laparosc. 1996 Aug;3(4):S39. doi: 10.1016/s1074-3804(96)80268-4.

Laparoscopic Bipolar Coagulation for the Conservative Treatment of Adenomyomas.

The Journal of the American Association of Gynecologic Laparoscopists

Phillips, Nathanson, Milim, Haselkorn

Affiliations

  1. 2260 Merrick Road, Merrick, NY 11566.

PMID: 9074212 DOI: 10.1016/s1074-3804(96)80268-4

Abstract

We assessed the effectiveness of laparoscopic bipolar coagulation in 20 women with severe dysmenorrhea, chronic menorrhagia, and a magnetic resonance imaging diagnosis of adenomyomata. In addition, nine women underwent transcervical endomyometrial resection; three (33.3%) of these women underwent concomitant submucous leiomyoma resection. One woman (5.0%) had resection of submucous leiomyomas without endomyometrial resection. The mean (± SEM) total uterine volume before leuprolide acetate administration was 433 ± 29 cm3; this was reduced to 239 ± 11 cm3 after 3 months of drug therapy, a 44.8% reduction. This volume was further reduced to 156 ± 20 cm3 (p <0.0001) 7 to 12 months postoperatively, a 64.0% reduction from baseline. Twelve months postoperatively 16 women (80.0%) had satisfactory resolution of menorrhagia, and 14 (70%) had satisfactory resolution of dysmenorrhea. Three patients (15.0%) required hysterectomy, two (10.0%) required gonadotropin-releasing hormone agonist add-back therapy to resolve recurrent menorrhagia, and two (10.0%) required endometrial resection after bipolar coagulation of adenomyomata failed to resolve menorrhagia. Conservative treatment obviated the need for major surgery in most women (85.0%) with adenomyomata.

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