{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T13:17:34Z","timestamp":1789132654523,"version":"build-2803163510"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The objective of this study was to observe the influence of laparoscopic adenomyomectomy on perinatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>The retrospective cohort study included 43 pregnant cases with adenomyosis who did not undergo laparoscopic surgery before pregnancy (nonsurgery group; 26 cases) and did (surgery group; 17 cases). To evaluate the impact of surgery on perinatal outcomes, nine obstetric complications including preterm delivery, hypertensive disorder of pregnancy, placental malposition, oligohydramnios, gestational diabetes mellitus, uterine rupture, abruptio placentae, and postpartum hemorrhage were selected. One obstetric complication was counted as one point (Maximum 9 points for one person). The obstetrical morbidity was compared by adding up the number of relevant events (0\u20139) between the two groups. Apgar score, umbilical artery pH (UApH), neonatal intensive care unit (NICU) admission, and neonatal death were also examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The surgery group had a significantly lower prevalence of fetal growth restriction compared to the nonsurgery group (nonsurgery vs. surgery; 26.9%, 7\/26 vs. 0%, 0\/17:\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.031). No differences were found in the morbidity of the nine obstetric complications (19.2%, 45\/234 vs. 13.7%, 21\/153), gestational weeks (mean \u00b1 standard deviation, 37.2 \u00b1 2.4 vs. 36.4 \u00b1 3.2), birth weight (2573.6 \u00b1 557.9 vs. 2555.4 \u00b1 680.8 g), Apgar score (1, 5 min; 8.0 \u00b1 0.7 vs. 7.7 \u00b1 1.2, 8.9 \u00b1 0.6 vs. 8.5 \u00b1 1.8), UApH (7.28 \u00b1 0.08 vs. 7.28 \u00b1 0.06), NICU admission (26.9%, 7\/26 vs. 41.2%, 7\/17), and neonatal death (0%, 0%) between both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Laparoscopic adenomyomectomy may not increase obstetric complications, although attention must be paid to uterine rupture during pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/gmit.gmit_45_22","type":"journal-article","created":{"date-parts":[[2023,1,17]],"date-time":"2023-01-17T03:04:31Z","timestamp":1673924671000},"page":"211-217","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Effectiveness of Laparoscopic Adenomyomectomy on Perinatal Outcomes"],"prefix":"10.4103","volume":"12","author":[{"given":"Yosuke","family":"Ono","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Yamanashi, Chuo, Japan"},{"name":"Department of Obstetrics and Gynecology, Teine Keijinkai Hospital, Sapporo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajime","family":"Ota","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Teine Keijinkai Hospital, Sapporo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyuki","family":"Fukushi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Teine Keijinkai Hospital, Sapporo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hikaru","family":"Tagaya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Yamanashi, Chuo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiko","family":"Okuda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Yamanashi, Chuo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osamu","family":"Yoshino","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Yamanashi, Chuo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideto","family":"Yamada","sequence":"additional","affiliation":[{"name":"Center for Recurrent Pregnancy Loss, Teine Keijinkai Hospital, Sapporo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuji","family":"Hirata","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Yamanashi, Chuo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichiro","family":"Wada","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Teine Keijinkai Hospital, Sapporo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,1,17]]},"reference":[{"key":"R1-20240830","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1080\/09513590.2016.1197200","article-title":"Adenomyosis:A systematic review of medical treatment","volume":"32","author":"Pontis","year":"2016","journal-title":"Gynecol Endocrinol"},{"key":"R2-20240830","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/S1472-6483(10)60535-4","article-title":"Adenomyosis as a disorder of the early and late human reproductive period","volume":"15","author":"Kunz","year":"2007","journal-title":"Reprod Biomed Online"},{"key":"R3-20240830","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":"R4-20240830","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.gmit.2016.08.002","article-title":"The benefit of adenomyomectomy on fertility outcomes in women with rectovaginal endometriosis with coexisting adenomyosis","volume":"6","author":"Kishi","year":"2017","journal-title":"Gyencol Minim Invasive Ther"},{"key":"R5-20240830","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1111\/j.1471-0528.2006.01186.x","article-title":"Adenomyosis and risk of preterm delivery","volume":"114","author":"Juang","year":"2007","journal-title":"BJOG"},{"key":"R6-20240830","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1111\/jog.12604","article-title":"Adverse pregnancy outcomes associated with adenomyosis with uterine enlargement","volume":"41","author":"Mochimaru","year":"2015","journal-title":"J Obstet Gynaecol Res"},{"key":"R7-20240830","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1080\/14767058.2017.1285895","article-title":"Adenomyosis and adverse perinatal outcomes:Increased risk of second trimester miscarriage, preeclampsia, and placental malposition","volume":"31","author":"Hashimoto","year":"2018","journal-title":"J Matern Fetal Neonatal Med"},{"key":"R8-20240830","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":"R9-20240830","doi-asserted-by":"crossref","first-page":"1439","DOI":"10.1111\/jog.13674","article-title":"Long-term dienogest administration in patients with symptomatic adenomyosis","volume":"44","author":"Neriishi","year":"2018","journal-title":"J Obstet Gynaecol Res"},{"key":"R10-20240830","doi-asserted-by":"crossref","first-page":"119","DOI":"10.4103\/GMIT.GMIT_35_18","article-title":"Efficacy of Hormonal Therapies for Decreasing Uterine Volume in Patients with Adenomyosis","volume":"7","author":"Matsushima","year":"2018","journal-title":"Gynecol Minim Invasive Ther"},{"key":"R11-20240830","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":"R12-20240830","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1016\/j.tjog.2015.05.003","article-title":"Conservative surgical treatment of adenomyosis to improve fertility:Controversial values, indications, complications, and pregnancy outcomes","volume":"54","author":"Tsui","year":"2015","journal-title":"Taiwan J Obstet Gynecol"},{"key":"R13-20240830","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1016\/j.tjog.2021.09.010","article-title":"Minimally invasive adenomyomectomy via a laparoscopic-assisted approach compared to a laparoscopic or laparotomic approach","volume":"60","author":"Ahn","year":"2021","journal-title":"Taiwan J Obstet Gynecol"},{"key":"R14-20240830","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1097\/GCO.0b013e3282f1bf00","article-title":"Transvaginal ultrasound or MRI for diagnosis of adenomyosis","volume":"19","author":"Dueholm","year":"2007","journal-title":"Curr Opin Obstet Gynecol"},{"key":"R15-20240830","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/j.bpobgyn.2006.01.016","article-title":"Pathology and physiopathology of adenomyosis","volume":"20","author":"Bergeron","year":"2006","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"R16-20240830","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1016\/j.fertnstert.2007.04.063","article-title":"Laparoscopic excision of uterine adenomyomas","volume":"89","author":"Grimbizis","year":"2008","journal-title":"Fertil Steril"},{"key":"R18-20240830","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":"R19-20240830","doi-asserted-by":"crossref","first-page":"102114","DOI":"10.1016\/j.jogoh.2021.102114","article-title":"Perinatal outcomes associated with the positional relationship between the placenta and the adenomyosis lesion","volume":"50","author":"Ono","year":"2021","journal-title":"J Gynecol Obstet Hum Reprod"},{"key":"R17-20240830","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.tjog.2020.11.015","article-title":"Pregnancy and delivery outcomes in the women who have received adenomyomectomy:Performed by a single surgeon by a uniform surgical technique","volume":"60","author":"Kwack","year":"2021","journal-title":"Taiwan J Obstet Gynecol"},{"key":"R20-20240830","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.tjog.2021.03.003","article-title":"Pregnancy outcome in women with type I adenomyosis undergoing adenomyomectomy","volume":"60","author":"Li","year":"2021","journal-title":"Taiwan J Obstet Gynecol"},{"key":"R21-20240830","doi-asserted-by":"crossref","first-page":"4145","DOI":"10.1080\/14767058.2019.1597845","article-title":"Perinatal outcome of pregnancy after adenomyomectomy:Summary of 10 cases with a brief literature review","volume":"33","author":"Sugiyama","year":"2020","journal-title":"J Matern Fetal Neonatal Med"},{"key":"R22-20240830","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.placenta.2012.11.017","article-title":"Defective myometrial spiral artery remodelling as a cause of major obstetrical syndromes in endometriosis and adenomyosis","volume":"34","author":"Brosens","year":"2013","journal-title":"Placenta"},{"key":"R24-20240830","doi-asserted-by":"crossref","first-page":"1480","DOI":"10.1111\/jog.12088","article-title":"Time spatial labeling inversion pulse magnetic resonance angiography in pregnancy with adenomyosis","volume":"39","author":"Yorifuji","year":"2013","journal-title":"J Obstet Gynaecol Res"},{"key":"R25-20240830","first-page":"802","article-title":"Who will benefit from uterus-sparing surgery in adenomyosis-associated subfertility?Fertil Steril","volume":"102","author":"Kishi","year":"2014"},{"key":"R26-20240830","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":"R27-20240830","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":"R28-20240830","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1111\/j.1447-0756.2011.01730.x","article-title":"Pregnant woman with an extremely small uterus due to pelvic irradiation in childhood","volume":"38","author":"Watanabe","year":"2012","journal-title":"J Obstet Gynaecol Res"},{"key":"R29-20240830","doi-asserted-by":"crossref","first-page":"564567","DOI":"10.1155\/2009\/564567","article-title":"Intra-abdominal bleeding during pregnancy, preterm delivery, and placental polyp in a long-term survivor of neuroblastoma:A case report","volume":"2009","author":"Watanabe","year":"2009","journal-title":"Obstet Gynecol Int"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.gmit_45_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:00:26Z","timestamp":1787760026000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.gmit_45_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,17]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit_45_22","relation":{},"ISSN":["2213-3070","2213-3089"],"issn-type":[{"value":"2213-3070","type":"print"},{"value":"2213-3089","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,17]]},"assertion":[{"value":"2022-04-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}