Total laparoscopic surgery of cystic adenomyoma under hydroultrasonographic monitoring

Hiroshi Nabeshima, Takashi Murakami, Yukihiro Terada, Takahiro Noda, Nobuo Yaegashi, Kunihiro Okamura

Research output: Contribution to journalArticlepeer-review

26 Citations (Scopus)


A 19-year-old-woman had a cystic adenomyoma located within the myometrium. She complained of severe dysmenorrhea. Gonadotropin-releasing hormone agonist therapy was administered, but her dysmenorrhea was more pronounced than before treatment. Therefore, total laparoscopic resection of the lesion was performed. The external appearance of the patient's uterus was almost normal. A hydroultrasonographic monitoring method was devised (transvaginal ultrasonography with peritoneal hydration of physiologic saline) that proved useful in locating the adenomyoma. The patient's dysmenorrhea disappeared postoperatively.

Original languageEnglish
Pages (from-to)195-199
Number of pages5
JournalJournal of the American Association of Gynecologic Laparoscopists
Issue number2
Publication statusPublished - 2003 May

ASJC Scopus subject areas

  • Obstetrics and Gynaecology


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