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Adenomyosis

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Minimally Invasive Gynecological Surgery

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Abstract

Adenomyosis is a common gynecologic condition characterized by the presence of heterotopic endometrial glands and stroma in the myometrium. It usually affects women in their reproductive years with symptoms of menorrhagia and dysmenorrhea. Until recently, the diagnosis of adenomyosis was made only through histological confirmation with invasive surgery, and the gold standard treatment was a hysterectomy. However, new advancements in diagnostic modalities, including radiological techniques, hysteroscopic visualization with biopsies, and laparoscopic myometrial biopsies, have allowed for diagnostic confirmation without removal of the uterus. In addition, new minimally invasive procedures now allow for more conservative surgical treatment options. This chapter will review the surgical techniques for diagnosis and therapy for adenomyosis.

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Authors and Affiliations

  1. Department of minimally invasive gynecological surgery, Newton Wellesley Hospital, 2014 Washington St, Newton, MA, 02462, USA

    Lydia Garcia MD & Keith Isaacson MD

Authors
  1. Lydia Garcia MD
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  2. Keith Isaacson MD
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Correspondence to Lydia Garcia MD .

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Editors and Affiliations

  1. Fredriksberg, Denmark

    Olav Istre

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Garcia, L., Isaacson, K. (2015). Adenomyosis. In: Istre, O. (eds) Minimally Invasive Gynecological Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44059-9_8

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  • DOI: https://doi.org/10.1007/978-3-662-44059-9_8

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-44058-2

  • Online ISBN: 978-3-662-44059-9

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