{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T13:31:29Z","timestamp":1793712689482,"version":"4.6.1"},"reference-count":40,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jmig.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Minimally Invasive Gynecology"],"published-print":{"date-parts":[[2023,7]]},"DOI":"10.1016\/j.jmig.2023.03.015","type":"journal-article","created":{"date-parts":[[2023,3,25]],"date-time":"2023-03-25T18:52:34Z","timestamp":1679770354000},"page":"543-554","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":31,"title":["Pregnancy Outcomes after Uterus-sparing Operative Treatment for Adenomyosis: A Systematic Review and Meta-analysis"],"prefix":"10.1016","volume":"30","author":[{"given":"Lijuan","family":"Jiang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zixuan","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7674-0625","authenticated-orcid":false,"given":"Yan","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jmig.2023.03.015_bib0001","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1001\/jama.2020.26436","article-title":"Diagnosis, evaluation, and treatment of adenomyosis","volume":"326","author":"Kho","year":"2021","journal-title":"JAMA"},{"key":"10.1016\/j.jmig.2023.03.015_bib0002","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1097\/OGX.0000000000000346","article-title":"The impact of adenomyosis on women's fertility","volume":"71","author":"Harada","year":"2016","journal-title":"Obstet Gynecol Surv"},{"key":"10.1016\/j.jmig.2023.03.015_bib0003","doi-asserted-by":"crossref","first-page":"4057","DOI":"10.3390\/jcm11144057","article-title":"Pathogenesis of human adenomyosis: current understanding and its association with infertility","volume":"11","author":"Khan","year":"2022","journal-title":"J Clin Med"},{"key":"10.1016\/j.jmig.2023.03.015_bib0004","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.rbmo.2020.09.023","article-title":"Fertility, pregnancy and neonatal outcomes of patients with adenomyosis: a systematic review and meta-analysis","volume":"42","author":"Nirgianakis","year":"2021","journal-title":"Reprod Biomed Online"},{"key":"10.1016\/j.jmig.2023.03.015_bib0005","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1016\/j.fertnstert.2020.08.1424","article-title":"Is there a link between focal adenomyosis and infertility?","volume":"114","author":"Garcia-Velasco","year":"2020","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2023.03.015_bib0006","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1016\/j.fertnstert.2018.01.013","article-title":"Role of medical therapy in the management of uterine adenomyosis","volume":"109","author":"Vannuccini","year":"2018","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2023.03.015_bib0007","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.3390\/ijerph18031235","article-title":"Adenomyosis and infertility-review of medical and surgical approaches","volume":"18","author":"Szubert","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.jmig.2023.03.015_bib0008","first-page":"442","article-title":"Gonadotropin-releasing hormone agonists and laparoscopy in the treatment of adenomyosis with infertility","volume":"113","author":"Lin","year":"2000","journal-title":"Chin Med J (Engl)"},{"key":"10.1016\/j.jmig.2023.03.015_bib0009","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.jmig.2017.07.014","article-title":"Conservative surgery for adenomyosis and results: a systematic review","volume":"25","author":"Younes","year":"2018","journal-title":"J Minim Invasive Gynecol"},{"key":"10.1016\/j.jmig.2023.03.015_bib0010","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1016\/j.jmig.2017.12.020","article-title":"Reproductive outcomes after fertility-sparing surgery for focal and diffuse adenomyosis: a systematic review","volume":"25","author":"Tan","year":"2018","journal-title":"J Minim Invasive Gynecol"},{"key":"10.1016\/j.jmig.2023.03.015_bib0011","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.bpobgyn.2018.01.016","article-title":"Minimally invasive treatment of adenomyosis","volume":"51","author":"Dueholm","year":"2018","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"10.1016\/j.jmig.2023.03.015_bib0012","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1080\/02656736.2021.1939443","article-title":"Image-guided thermal ablation in the management of symptomatic adenomyosis: a systematic review and meta-analysis","volume":"38","author":"Liu","year":"2021","journal-title":"Int J Hyperthermia"},{"key":"10.1016\/j.jmig.2023.03.015_bib0013","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.jmig.2019.07.029","article-title":"Is high-intensity focused ultrasound effective for the treatment of adenomyosis? A systematic review and meta-analysis","volume":"27","author":"Marques","year":"2020","journal-title":"J Minim Invasive Gynecol"},{"key":"10.1016\/j.jmig.2023.03.015_bib0014","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1007\/s10654-010-9491-z","article-title":"Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses","volume":"25","author":"Stang","year":"2010","journal-title":"Eur J Epidemiol"},{"key":"10.1016\/j.jmig.2023.03.015_bib0015","first-page":"2127","article-title":"Methodological quality of case series studies: an introduction to the JBI critical appraisal tool","volume":"18","author":"Munn","year":"2020","journal-title":"JBI Evid Synth"},{"key":"10.1016\/j.jmig.2023.03.015_bib0016","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1111\/j.1447-0756.2008.00951.x","article-title":"Is the surgical approach beneficial to subfertile women with symptomatic extensive adenomyosis?","volume":"35","author":"Wang","year":"2009","journal-title":"J Obstet Gynaecol Res"},{"key":"10.1016\/j.jmig.2023.03.015_bib0017","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1186\/s12884-021-03851-0","article-title":"Pregnancy outcomes in women with infertility and coexisting endometriosis and adenomyosis after laparoscopic surgery: a long-term retrospective follow-up study","volume":"21","author":"Shi","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.jmig.2023.03.015_bib0018","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1016\/j.rbmo.2014.02.008","article-title":"Treatment of adenomyomectomy in women with severe uterine adenomyosis using a novel technique","volume":"28","author":"Saremi","year":"2014","journal-title":"Reprod Biomed Online"},{"key":"10.1016\/j.jmig.2023.03.015_bib0019","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1016\/j.fertnstert.2014.05.028","article-title":"Who will benefit from uterus-sparing surgery in adenomyosis-associated subfertility?","volume":"102","author":"Kishi","year":"2014","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2023.03.015_bib0020","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.tjog.2012.04.008","article-title":"Fertility outcome of infertile women with adenomyosis treated with the combination of a conservative microsurgical technique and GnRH agonist: long-term follow-up in a series of nine patients","volume":"51","author":"Huang","year":"2012","journal-title":"Taiwan J Obstet Gynecol"},{"key":"10.1016\/j.jmig.2023.03.015_bib0021","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1007\/s10397-016-0966-0","article-title":"Effectiveness of treatment for infertility using clinical investigation of laparoscopy cytoreductive surgery combined with gestrinone in adenomyosis","volume":"13","author":"Guy","year":"2016","journal-title":"Gynecol Surg"},{"key":"10.1016\/j.jmig.2023.03.015_bib0022","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1002\/rmb2.12036","article-title":"Clinical outcomes of infertility treatment for women with adenomyosis in Japan","volume":"16","author":"Tamura","year":"2017","journal-title":"Reprod Med Biol"},{"key":"10.1016\/j.jmig.2023.03.015_bib0023","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1080\/02656736.2020.1742390","article-title":"A comparison of reproductive outcomes of patients with adenomyosis and infertility treated with high-intensity focused ultrasound and laparoscopic excision","volume":"37","author":"Huang","year":"2020","journal-title":"Int J Hyperthermia"},{"key":"10.1016\/j.jmig.2023.03.015_bib0024","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.tjog.2013.01.007","article-title":"Reproductive performance of severely symptomatic women with uterine adenomyoma who wanted preservation of the uterus and underwent combined surgical-medical treatment","volume":"52","author":"Chang","year":"2013","journal-title":"Taiwan J Obstet Gynecol"},{"key":"10.1016\/j.jmig.2023.03.015_bib0025","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1111\/jog.14145","article-title":"Pregnancy and symptomatic relief following ultrasound-guided transvaginal radiofrequency ablation in patients with adenomyosis","volume":"46","author":"Nam","year":"2020","journal-title":"J Obstet Gynaecol Res"},{"key":"10.1016\/j.jmig.2023.03.015_bib0026","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajog.2021.05.033","article-title":"Clinical investigation of fertility after uterine artery embolization","volume":"225","author":"Serres-Cousine","year":"2021","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.jmig.2023.03.015_bib0027","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.rbmo.2010.09.014","article-title":"Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis","volume":"22","author":"Osada","year":"2011","journal-title":"Reprod Biomed Online"},{"key":"10.1016\/j.jmig.2023.03.015_bib0028","doi-asserted-by":"crossref","first-page":"18","DOI":"10.13181\/mji.v15i1.209","article-title":"Management of adenomyosis in infertile women: comparison between laparotomic resection and administration of aromatase inhibitor (Experience in 55 cases)","volume":"15","author":"Rajuddin","year":"2006","journal-title":"Med J Indones"},{"key":"10.1016\/j.jmig.2023.03.015_bib0029","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.fertnstert.2013.10.025","article-title":"Uterus-sparing operative treatment for adenomyosis","volume":"101","author":"Grimbizis","year":"2014","journal-title":"Fertil Steril"},{"key":"10.1016\/j.jmig.2023.03.015_bib0030","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1093\/humupd\/dmz049","article-title":"Diagnosing adenomyosis: an integrated clinical and imaging approach","volume":"26","author":"Chapron","year":"2020","journal-title":"Hum Reprod Update"},{"key":"10.1016\/j.jmig.2023.03.015_bib0031","doi-asserted-by":"crossref","DOI":"10.1155\/2017\/5926470","article-title":"Myomas and adenomyosis: impact on reproductive outcome","volume":"2017","author":"Vlahos","year":"2017","journal-title":"BioMed Res Int"},{"key":"10.1016\/j.jmig.2023.03.015_bib0032","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1111\/aogs.13158","article-title":"Uterine adenomyosis and infertility, review of reproductive outcome after in vitro fertilization and surgery","volume":"96","author":"Dueholm","year":"2017","journal-title":"Acta Obstet Gynecol Scand"},{"key":"10.1016\/j.jmig.2023.03.015_bib0033","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1093\/humupd\/dmz012","article-title":"Reproductive, obstetric, and perinatal outcomes of women with adenomyosis and endometriosis: a systematic review and meta-analysis","volume":"25","author":"Horton","year":"2019","journal-title":"Hum Reprod Update"},{"key":"10.1016\/j.jmig.2023.03.015_bib0034","doi-asserted-by":"crossref","DOI":"10.1016\/j.jmig.2019.08.004","article-title":"The outcome of fertility-sparing and nonfertility-sparing surgery for the treatment of adenomyosis. A systematic review and meta-analysis","volume":"27","author":"Mikos","year":"2020","journal-title":"J Minim Invasive Gynecol"},{"key":"10.1016\/j.jmig.2023.03.015_bib0035","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1093\/humrep\/deu041","article-title":"Uterine adenomyosis and in vitro fertilization outcome: a systematic review and meta-analysis","volume":"29","author":"Vercellini","year":"2014","journal-title":"Hum Reprod"},{"key":"10.1016\/j.jmig.2023.03.015_bib0036","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.bpobgyn.2017.09.002","article-title":"High-intensity focused ultrasound therapy","volume":"46","author":"Cheung","year":"2018","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"10.1016\/j.jmig.2023.03.015_bib0037","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.bpobgyn.2017.09.003","article-title":"Uterine artery embolization: a review of current concepts","volume":"46","author":"Keung","year":"2018","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"10.1016\/j.jmig.2023.03.015_bib0038","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1080\/02656736.2019.1708481","article-title":"Comparison between microwave ablation and radiofrequency ablation for treating symptomatic uterine adenomyosis","volume":"37","author":"Lin","year":"2020","journal-title":"Int J Hyperthermia"},{"key":"10.1016\/j.jmig.2023.03.015_bib0039","article-title":"Successful pregnancy outcome in refractory adenomyosis treated with two sessions of uterine artery embolization: a case report and brief review","volume":"50","author":"Kulshrestha","year":"2021","journal-title":"J Gynecol Obstet Hum Reprod"},{"key":"10.1016\/j.jmig.2023.03.015_bib0040","doi-asserted-by":"crossref","first-page":"842","DOI":"10.12891\/ceog4472.2018","article-title":"Unintended pregnancies with term delivery following ultrasound-guided high-intensity focused ultrasound (USgHIFU) ablation of uterine fibroid and adenomyosis","volume":"45","author":"Lee","year":"2018","journal-title":"Clin Exp Obstet Gynecol"}],"container-title":["Journal of Minimally Invasive Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1553465023001139?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1553465023001139?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T09:45:06Z","timestamp":1761558306000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1553465023001139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":40,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["S1553465023001139"],"URL":"https:\/\/doi.org\/10.1016\/j.jmig.2023.03.015","relation":{},"ISSN":["1553-4650"],"issn-type":[{"value":"1553-4650","type":"print"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Pregnancy Outcomes after Uterus-sparing Operative Treatment for Adenomyosis: A Systematic Review and Meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Minimally Invasive Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jmig.2023.03.015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 AAGL. All rights reserved.","name":"copyright","label":"Copyright"}]}}