The Application of Uterine Artery Occlusion Combined with Uterine-Vaginal Nerve Block Technique in Patients with Adenomyosis

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Laparoscopic uterine artery occlusion combined with uterine-vaginal nerve blockade effectively treated adenomyosis patients seeking uterine preservation with good near- and long-term outcomes.

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This case report describes a rare complication following laparoscopic myomectomy for uterine fibroids, where a retained fragment of tissue caused early postoperative intestinal obstruction. The patient underwent surgery to enucleate multiple fibroids, which were subsequently cut into smaller pieces using electrosurgery, leading to the accidental burial of a residual fragment in the mesentery. Diagnosis was confirmed via follow-up laparoscopy, and complete healing was achieved after surgically removing the offending tissue segment. The authors emphasize the critical importance of meticulously removing all myoma fragments during such procedures to prevent similar dangerous outcomes. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Adenomyosis is a commom gynecological disease, which affects women from 30 to 50 years old with the symptoms of dysmenorrhea or menorrhagia. In the past, we always use hysterectomy to treat patients even young women, but now after years of clinical research,we found that the technique of laparoscopic uterine artery occlusion (LUAO) combined with uterine-vaginal nerve blockade would have a good near- and long-term effects on patients with adenomyosis who wish to preserve the uterus.
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Early Postoperative Intestinal Obstruction from Retained Myoma Fragment After Laparoscopic Myomectomy- A Case Report Laparoscopic myomectomy is increasingly used for uterine fibroid excision in women needing fertility preservation. However, as complex laparoscopic procedures become common and widespread, new and novel complications are being reported. Retained fibroid pieces are an uncommon but possibly dangerous consequence. We describe a case of laparoscopic myomectomy involving multiple fibroids of varying sizes which were enucleated and electrosurgically cut into smaller pieces. This case is unique because a residual fibroid fragment got buried in the mesentery causing early postoperative intestinal obstruction. The diagnosis was confirmed by a follow-up laparoscopy, and full healing resulted from surgically removing that fibroid segment. In order to prevent such difficulties, this article highlights how crucial it is to carefully remove all myoma fragments during laparoscopy.

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adenomyosisdysmenorrhea

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europepmc
last seen: 2026-10-17T06:09:56.316927+00:00
pubmed
last seen: 2026-10-08T21:26:00.687991+00:00
unpaywall
last seen: 2026-05-14T19:30:52.867331+00:00
License: CC-BY-NC-SA-4.0 · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine