Figures & data
Figure 1 Surgical procedure of laparotomic double-flap adenomyomectomy. (A) Diluted pituitrin was injected into uterine wall; (B and C) An incision was made in the serosal surface midline of uterine fundus by using scalpel and continued along the sagittal direction until the uterine cavity was reached; (D and E) Adenomyomatous tissues were grasped with forceps, identified, and excised from the surrounding myometrium; (F) The endometrial lining was approximated with interrupted sutures of 3–0 Vicryl; (G and H) The first flap in one side wall of the uterus was brought into the second flap in another side of the uterine wall so that the other side wall of the uterus was covered; (I, J, K and L) The second flap in another side of the uterine wall was brought to cover the first flap in one side wall of the uterus. Before overlapping occurred, the serosal surface of the underlying flaps was stripped to ensure that only myometrial tissue flaps overlapped.
Table 1 Patients’ characteristics
Table 2 Dysmenorrhea relief and adenomyosis recurrence after adenomyomectomy
Table 3 Changes in pain score and menorrhagia after adenomyomectomy
Table 4 Influence of factors on adenomyosis recurrence after adenomyomectomy