ArticleAJOG global reports2023
Possible risks and benefits of adenomyomectomy on pregnancy outcomes: a retrospective analysis.
Article in AJOG global reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 12 citations in OpenAlex.
- Subtype-specific analysis of factors associated with assisted reproductive technology indication and live birth in patients with adenomyosis: a retrospective study.Archives of gynecology and obstetrics · 2026Article
- Perinatal complications and time to subsequent pregnancy after open, laparoscopic, and hysteroscopic myomectomy: a retrospective cohort study.BMC pregnancy and childbirth · 2026Article
- An Unrecognized High Incidence of Asymptomatic Uterine Torsion in Pregnancies with Adenomyosis that Complicate Cesarean Delivery.Reproductive sciences (Thousand Oaks, Calif.) · 2026Article
- Clinical insights into placenta accreta spectrum: a comprehensive review.Obstetrics & gynecology science · 2026Review
- Outcome of pregnancy after adenomyomectomy: a review.Obstetrics & gynecology science · 2026Review
- Conservative Surgical Management of Adenomyosis: Implications for Infertility and Pregnancy Outcomes-A Perspective Review.Journal of clinical medicine · 2025Article
- Hysteroscopic Endometrial Defect Following Adenomyomectomy and Incidence of Placenta Accreta Spectrum and Uterine Rupture Complications for Subsequent Pregnancy.Reproductive sciences (Thousand Oaks, Calif.) · 2025Article
- Adenomyomectomy with preconceptional transabdominal cervicoisthmic cerclage for transvaginal cerclage failure.Frontiers in surgery · 2025Article
- Fetus in the Abdominal Cavity After Uterine Rupture in a Primigravida Post-Adenomyosis Enucleation.Diagnostics (Basel, Switzerland) · 2024Article
- The Impact of Conservative Surgical Treatment of Adenomyosis on Fertility and Perinatal Outcomes.Journal of clinical medicine · 2024Review
- Case Report: The first case of successful pregnancy and live birth following laparoscopic resection of adenomyosis under real-time intraoperative ultrasound elastography guidance.Frontiers in medicine · 2024Article
- Postoperative Outcomes on Endometriosis-related Pain Following Laparoscopic Adenomyomectomy: A Retrospective Cohort Study.Gynecology and minimally invasive therapyArticle
Corrections and comments
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Authors and funding
13 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdenomyosis is associated with unfavorable perinatal outcomes; however, the effect of an adenomyomectomy on pregnancy outcomes remains unclear. Pregnancy following an adenomyomectomy has been reported to be associated with a high risk for uterine rupture; however, the actual incidence remains unknown.
objectiveThis study aimed to evaluate the effect of an adenomyomectomy on pregnancy outcomes by retrospectively comparing the pregnancy outcomes of women who underwent an adenomyomectomy with those of women with adenomyosis. STUDY
designThis was a single-center retrospective study in which the pregnancy outcomes of women who underwent an adenomyomectomy and for whom complete resection of the affected tissue under laparotomy was achieved were compared with those of women with adenomyosis. The following pregnancy outcomes were examined: second-trimester miscarriage, preterm prelabor rupture of membranes, preterm delivery, spontaneous preterm delivery, preeclampsia, rate of cesarean delivery, blood loss during cesarean delivery, incidence of placenta accreta spectrum, neonatal body weight, and small for gestational age infants.
resultsA total of 18 pregnant women who underwent an adenomyomectomy and 105 pregnant women with adenomyosis were included in this study. All women who underwent an adenomyomectomy delivered via cesarean delivery, and among them, 1 had a uterine rupture at 30 weeks of gestation. Although there was no significant difference between pregnant women who underwent an adenomyomectomy and those with adenomyosis in the incidence of second-trimester miscarriage (0% [0/18] vs 7.6% [8/105], respectively;
conclusionUterine rupture following an adenomyomectomy may occur because of the high incidence of placenta accreta spectrum. However, an adenomyomectomy may reduce adverse pregnancy outcomes associated with adenomyosis, such as preterm prelabor rupture of membranes, preeclampsia, and small for gestational age infants. An adenomyomectomy may be a viable option for women among whom the procedure is inevitable before conception.
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