An innovative surgical approach: suture fixation of the levonorgestrel-releasing intrauterine system in the treatment of adenomyosis.
BMC Womens Health
; 22(1): 451, 2022 11 16.
Article
de En
| MEDLINE
| ID: mdl-36384588
ABSTRACT
BACKGROUND:
Placement of a levonorgestrel-releasing intrauterine system (LNG-IUS) is an effective treatment for adenomyosis, especially for patients who have severe dysmenorrhea symptoms but a strong desire to preserve fertility. Nonetheless, for patients with adenomyosis accompanied by an enlarged uterus, expulsion of the ring is a troublesome problem. In this study, we sewed and fixed the LNG-IUS in the uterus, which provides a good solution to this problem.METHODS:
In this prospective case series approved by the Ethics Committee of Hangzhou Women's Hospital, 12 patients with adenomyosis were successfully enrolled after providing informed consent, and all patients underwent long-term postoperative follow-up.RESULTS:
Twelve patients with adenomyosis underwent suture fixation with an LNG-IUS, and during the long-term postoperative follow-up, every patient experienced complete remission of their symptoms a significant decrease in menstrual flow, relief of dysmenorrhea, and improvement in quality of life. Only one person reported expulsion a year later.CONCLUSION:
In patients with adenomyosis suffering from dysmenorrhea or excessive menstrual blood loss, suture fixation of an LNG-IUS using the hysteroscopic cold knife surgery system is a minimally invasive and effective alternative treatment for adenomyosis and decreases the risk of LNG-IUS expulsion.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Endométriose intra-utérine
/
Dispositifs intra-uterins libérant un agent contraceptif
Type d'étude:
Etiology_studies
Aspects:
Ethics
/
Patient_preference
Limites:
Female
/
Humans
Langue:
En
Journal:
BMC Womens Health
Sujet du journal:
SAUDE DA MULHER
Année:
2022
Type de document:
Article
Pays d'affiliation:
Chine