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If a uterine adenomyoma is found, it suffers from secondary pain due to pregnancy.
For these women, uterine adenomyosis, which preserves the uterus, has been shown to be effective in overall lesions. It has been reported that laparoscopic uterine preservation surgery is possible if the lesion diameter is less than 5 cm.
Department of Obstetrics and Gynecology of Eulji Kwon University Yong-Soon , Professor
Professor Kwon Soon Kwon of the Department of Obstetrics and Gynecology, University of Eulji recently published an article entitled "Conservative Surgery of Laparoscopic Uterine Adenomyosis Versus Laparotomy in a only institution ".
The article describes the surgical management of laparoscopy and laparotomy of adenomyosis, and describes the appropriate surgical procedures for the differentiation of adenomas and uterine lesions. The approach is the key. In this study, we badyzed 224 patients (116 laparotomy patients and 108 laparoscopic patients) who underwent surgery for the first time in Korea and abroad from 2011 to 2016.
The Mean Laparotomy Group was 116 minutes and the laparoscopic group was 75 minutes. The laparoscopic group was 155 ml, much smaller than the laparotomy group
.Laparotomy was 6.46 cm in diameter, laparoscopy 4.34 cm in diameter, 108 g for laparotomy and 32 g for laparoscopic surgery. After laparoscopic laparotomy, almost all patients were "improved" (100% palliative: 30%, more than 30% stable: 69%). Laparoscopic laparotomy was performed at 96.92% (100%).
Professor Kwon chose the surgical method to completely eliminate the lesion regardless of the extent of the proliferation.
Professor Kwon reported that surgical removal of the uterus due to surgical complications in 224 patients after complete resection surgery, or the threat of life-threatening
In Meanwhile, the criteria for the diameter of the lesion that determines the surgical procedure of laparotomy and laparoscopic surgery is 5cm
Professor Kwon said: "Laparoscopic surgery is difficult to perform in uterine plastic surgery, and it is difficult to measure the endometrium of the uterine muscle and endometrium.Because these limitations are difficult to overcome, even if uterine leiomyoma is localized, "
Professor Kwon said:" In 2011 , the laparoscopic vascular clip was used to temporarily block the uterine artery in the posterior abdominal cavity and prevent mbadive bleeding.
Professor Kwon received the The highest honor of the World Society of Obstetrics and Gynecology in Italy in April, when she developed her own surgical technique called "temporary occlusion of the uterine artery" ( OAU). Kwon has proven the stability and effectiveness of his own surgery not only in Korea but also abroad. On the other hand, Professor Kwon specializes in gynecological diseases such as gynecological cancer, deep endometriosis, uterine leiomyoma, adenocarcinoma, ovarian cancer, etc. at Ewha Womans University Hospital.
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