{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T01:24:40Z","timestamp":1771550680643,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,12,16]],"date-time":"2014-12-16T00:00:00Z","timestamp":1418688000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to determine the feasibility and safety of adenomyomectomy with transient occlusion of uterine arteries (<jats:styled-content style=\"fixed-case\">TOUA<\/jats:styled-content>) in patients with symptomatic diffuse uterine adenomyosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>Twenty\u2010six patients with symptomatic diffuse uterine adenomyosis underwent adenomyomectomy with <jats:styled-content style=\"fixed-case\">TOUA<\/jats:styled-content> by a single surgeon at <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>lsan <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>niversity <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital between <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ay 2011 and <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>eptember 2012. Surgical outcomes included operative time, intraoperative injury to blood vessels, nerves, and pelvic organs and operative blood loss. We assessed the degree of improvement in dysmenorrhea and menorrhagia at the 4\u2010month follow\u2010up after completion of adjuvant gonadotrophin\u2010releasing hormone agonist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of patients was 37.73 years (range, 27\u201349 years). The mean total surgical time was 95.0\u2009min (range, 60\u2013145\u2009min; SD, 34.49). The mean estimated blood loss was 191.54\u2009mL (range, 80\u2013400\u2009mL; SD, 110.91) and there were no cases of injury to the uterine arteries or pelvic nerves. The mean time of <jats:styled-content style=\"fixed-case\">TOUA<\/jats:styled-content> was 9.79\u2009min (range, 6\u201316\u2009min; SD, 2.74). The mean duration of hospital stay was 5.65 days (range, 4\u20137 days; SD, 0.85). There were no major complications requiring reoperation or readministration during the mean follow\u2010up period of 13.5 months. At the 7\u2010month follow\u2010up after adenomyomectomy with <jats:styled-content style=\"fixed-case\">TOUA<\/jats:styled-content>, complete remission of dysmenorrhea and menorrhagia was observed in 94.4% and 100% of patients, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Adenomyomectomy with <jats:styled-content style=\"fixed-case\">TOUA<\/jats:styled-content> could be a safe and effective surgical method in women with symptomatic diffuse uterine adenomyosis to preserve fertility.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12649","type":"journal-article","created":{"date-parts":[[2014,12,16]],"date-time":"2014-12-16T08:29:05Z","timestamp":1418718545000},"page":"938-945","source":"Crossref","is-referenced-by-count":23,"title":["Conservative adenomyomectomy with transient occlusion of uterine arteries for diffuse uterine adenomyosis"],"prefix":"10.1111","volume":"41","author":[{"given":"Yong\u2010Soon","family":"Kwon","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology College of Medicine University of Ulsan Ulsan University Hospital  Ulsan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun Jin","family":"Roh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology College of Medicine University of Ulsan Ulsan University Hospital  Ulsan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun Woo","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology College of Medicine University of Ulsan Ulsan University Hospital  Ulsan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sang\u2010Hun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology College of Medicine University of Ulsan Ulsan University Hospital  Ulsan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyong Shil","family":"Im","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine Uijeongbu St Mary's Hospital College of Medicine Catholic University of Korea  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,12,16]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"2778","article-title":"Adenomyosis: Its conservative surgical treatment (hysteroplasty) in young women","volume":"52","author":"Hyams LL","year":"1952","journal-title":"NY J Med"},{"key":"e_1_2_6_3_1","first-page":"1174","article-title":"Conservative surgical treatment for adenomyosis uteri in young women: Local excision and metroplasty","volume":"93","author":"Van Praagh I","year":"1965","journal-title":"Can Med Assoc J"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000075830"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2005.12.004"},{"key":"e_1_2_6_6_1","first-page":"1322","article-title":"Characteristics and efficacy of modified adenomyomectomy in the treatment of uterine adenomyoma","volume":"124","author":"Sun AJ","year":"2011","journal-title":"Chin Med J (Engl)"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.03.046"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbmo.2010.09.014"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(01)00349-9"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2004.07.005"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/16.11.2427"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1517\/14728214.13.1.119"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2005.09.014"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2008.07.1744"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60068-0"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2005.12.066"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2007.04.063"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2010.06.001"},{"key":"e_1_2_6_19_1","first-page":"3","article-title":"Laparoscopic adenomyomectomy: A highly effective method of adenomyoma excision and suturing","volume":"21","author":"Song HS","year":"2011","journal-title":"J Laparoendosc Adv Surg Tech B Videoscopy"},{"key":"e_1_2_6_20_1","first-page":"365","article-title":"Conservative surgical treatment combined with GnRH agonist in symptomatic uterine adenomyosis","volume":"27","author":"Kwon YS","year":"2011","journal-title":"Pak J Med Sci"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1519-7"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2012.12.002"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.199.1.8633139"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.12649","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.12649","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.12649","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T21:38:23Z","timestamp":1696196303000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.12649"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,16]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["10.1111\/jog.12649"],"URL":"https:\/\/doi.org\/10.1111\/jog.12649","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12,16]]}}}