{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T02:34:55Z","timestamp":1774492495094,"version":"3.50.1"},"reference-count":7,"publisher":"Galenos Yayinevi","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>Background: Adenomyosis is a chronic, debilitating condition characterised by the presence of endometrial- like glands and stroma within the myometrium. While hysterectomy remains the definitive treatment, uterus- sparing surgeries may be a possible option for patients desiring to maintain fertility. Surgical management, along with medical treatment and\/or Assisted Reproductive Technology (ART), can improve outcomes.\n\nObjectives: To provide a step-by-step video demonstration of robotic-assisted excision of diffuse adenomyosis affecting the posterior uterine wall.\n\nMaterials and Methods: This video article describes the use of a robotic platform in conjunction with intracavitary indocyanine green (ICG) for the uterus-sparing excision of diffuse adenomyosis.\n\nMain Outcome Measures: Perioperative data, specifics of the surgical approach, and both objective and subjective outcomes of this surgical approach.\n\nResults: A 38-year-old nulligravid patient with a history of chronic pelvic pain and infertility underwent surgical management of adenomyosis following two unsuccessful IVF cycles. The excisional surgery resulted in minimal blood loss (60 ml) and the patient was discharged on the same day of surgery with no complications.\n\nConclusion: In select patients, robotic-assisted surgical management of diffuse adenomyosis can be advantageous. Leveraging the benefits of robotic technology, combined with appropriate surgical techniques, facilitates the performance of extensive surgeries with minimal morbidity and favourable outcomes.<\/jats:p>","DOI":"10.52054\/fvvo.16.3.034","type":"journal-article","created":{"date-parts":[[2024,10,2]],"date-time":"2024-10-02T22:07:53Z","timestamp":1727906873000},"page":"365-368","source":"Crossref","is-referenced-by-count":3,"title":["Robotic-assisted excision of diffuse adenomyosis"],"prefix":"10.52054","volume":"16","author":[{"given":"Y","family":"Youssef","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Alkatout","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JM","family":"Ayoubi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Feki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Moawad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2811","published-online":{"date-parts":[[2024,9]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Grimbizis GF, Mikos T, Tarlatzis B. Uterus-sparing operative treatment for adenomyosis. Fertil Steril. 2014;101:472-87.","DOI":"10.1016\/j.fertnstert.2013.10.025"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Hashimoto A, Iriyama T, Sayama S et al. Adenomyosis and adverse perinatal outcomes: increased risk of second trimester miscarriage, preeclampsia, and placental malposition. J Matern Fetal Neonatal Med. 2018; 31:364-369.","DOI":"10.1080\/14767058.2017.1285895"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Jiang L, Han Y, Song Z et al. Pregnancy Outcomes after Uterus-sparing Operative Treatment for Adenomyosis: A Systematic Review and Meta-analysis. J Minim Invasive Gynecol. 2023;30:543-554.","DOI":"10.1016\/j.jmig.2023.03.015"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Moawad, G,.; Youssef, Y,.; Fruscalzo, A. et al. The Impact of Conservative Surgical Treatment of Adenomyosis on Fertility and Perinatal Outcomes. J. Clin. Med. 2024;, 13, :2531.","DOI":"10.3390\/jcm13092531"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Puente JM, Fabris A, Patel J et al. Adenomyosis in infertile women: prevalence and the role of 3D ultrasound as a marker of severity of the disease. Reprod Biol Endocrinol. 2016;14:60.","DOI":"10.1186\/s12958-016-0185-6"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Tan J, Moriarty S, Taskin O, et al. Reproductive Outcomes after Fertility-Sparing Surgery for Focal and Diffuse Adenomyosis: A Systematic Review. J Minim Invasive Gynecol. 2018;25:608-621.","DOI":"10.1016\/j.jmig.2017.12.020"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Vercellini P, Vigan\u00f2 P, Bandini V et al. Association of endometriosis and adenomyosis with pregnancy and infertility. Fertil Steril. 2023;119:727-740","DOI":"10.1016\/j.fertnstert.2023.03.018"}],"container-title":["Facts, Views and Vision in ObGyn"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T05:56:18Z","timestamp":1739512578000},"score":1,"resource":{"primary":{"URL":"https:\/\/fvvo.eu\/articles\/doi\/FVVO.16.3.034\">10.52054"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,9]]},"published-print":{"date-parts":[[2024,9]]}},"URL":"https:\/\/doi.org\/10.52054\/fvvo.16.3.034","relation":{},"ISSN":["2684-4230","2032-0418"],"issn-type":[{"value":"2684-4230","type":"electronic"},{"value":"2032-0418","type":"print"}],"subject":[],"published":{"date-parts":[[2024,9]]}}}