Clinical observation of repeated labor in a woman who underwent adenomyomectomy using the Osada procedure

• Vitaly B. Tskhay
• Anna A. Bakunina
• Gyulnar T. Mikailli

Abstract

The uniqueness of this case seems to us to be that, after extensive adenomyomectomy, a woman suffering from diffuse adenomyosis experienced two spontaneous pregnancies that resulted in the birth of live children. In the first case, a planned caesarean section was performed at term pregnancy; in the second case, an emergency caesarean section was performed due to a histopathic uterine rupture at 34 weeks of gestation. Currently, both children are healthy and developing normally.

Keywords:adenomyosis; adenomyomectomy; pregnancy; uterine rupture; perinatal outcome

REFERENCES

1. Makino S., Takeda S., Kondoh E., et al. National survey of uterine rupture in Japan: annual report of Perinatology Committee, Japan Society of Obstetrics and Gynecology, 2018. J Obstet Gynaecol Res. 2019; 45 (4): 763–5. DOI: https://doi.org/10.1111/jog.13924

2. Otsubo Y., Nishida M., Arai Y., et al. Association of uterine wall thickness with pregnancy outcome following uterine-sparing surgery for diffuse uterine adenomyosis. Aust N Z J Obstet Gynaecol. 2016; 56 (1): 88–91. DOI: https://doi.org/10.1111/ajo.12419

3. Kwack J.Y., Lee S.J., Kwon Y.S. Pregnancy and delivery outcomes in the women who have received adenomyomectomy: performed by a single surgeon by a uniform surgical technique. Taiwan J Obstet Gynecol. 2021; 60 (1): 99–102. DOI: https://doi.org/10.1016/j.tjog.2020.11.015

4. Ogoyama M., Yamamoto K., Suzuki H., et al. Uterine rupture with placenta percreta following multiple adenomyomectomies. Cureus. 2023; 15 (2): e34852. DOI: https://doi.org/10.7759/cureus.34852

5. Osada H., Silber S., Kakinuma T., et al. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis. Reprod Biomed Online. 2011; 22 (1): 94–9. DOI: https://doi.org/10.1016/j.rbmo.2010.09.014

6. Rukhlyada N.N., Krylov K.Yu., Biryukova E.I. Possibilities of organ-sparing surgery for adenomyosis in the context of reproductive function preservation. Akusherstvo i ginekologiya [Obstetrics and Gynecology]. 2018; (7): 120–4. DOI: https://doi.org/10.18565/aig.2018.7.120-124 (in Russian)

7. Kaplunov V.A., Tskhay V.B., Mikailli G.T., Badmayeva S.Zh. Possibilities of organ-preserving surgical treatment of patients with diffuse adenomyosis combined with hysteromyoma. Sibirskoe meditsinskoe obozrenie [Siberian Medical Review]. 2020; (2): 92–7. DOI: https://doi.org/10.20333/2500136-2020-2-92-97 (in Russian)

8. Osada H. Uterine adenomyosis and adenomyoma: the surgical approach. Fertil Steril. 2018; 109 (3): 406–17. DOI: https://doi.org/10.1016/j.fertnstert.2018.01.032

9. Oliveira M.A.P., Crispi C.P. Jr, Brollo L.C., et al. Surgery in adenomyosis. Arch Gynecol Obstet. 2018; 297 (3): 581–9. DOI: https://doi.org/10.1007/s00404-017-4603-6

10. Bezhenar’ V.F., Krylov K.Yu., Makarenko T.A., et al. Experience with surgery for adenomyosis and assessment of reproductive outcomes. Akusherstvo i ginekologiya [Obstetrics and Gynecology]. 2023; (2): 79–86. DOI: https://doi.org/10.18565/aig.2022.263 (in Russian)

11. Sayama S., Iriyama T., Hashimoto A., et al. Possible risks and benefits of adenomyomectomy on pregnancy outcomes: a retrospective analysis. AJOG Glob Rep. 2023; 3 (4): 100265. DOI: https://doi.org/10.1016/j.xagr.2023.100265

12. Jin T., Kyozuka H., Fujimori M., et al. Unexpected placenta accreta spectrum after the use of assisted reproductive technology in women with adenomyomectomy. J Med Sci. 2021; 67 (1): 45–8. DOI: https://doi.org/10.5387/fms.2021-02

13. Sugiyama M., Takahashi H., Baba Y., et al. Perinatal outcome of pregnancy after adenomyomectomy: summary of 10 cases with a brief literature review. J Matern Fetal Neonatal Med. 2020; 33 (24): 4145–9. DOI: https://doi.org/10.1080/14767058.2019.1597845

14. Tinelli A., Kosmas I.P., Carugno J.T., et al. Uterine rupture during pregnancy: the URIDA (uterine rupture international data acquisition) study. Int J Gynaecol Obstet. 2022; 157 (1): 76–84. DOI: https://doi.org/10.1002/ijgo.13810

15. Arusi T.T., Zewdu Assefa D., Gutulo M.G., Gensa Geta T. Predictors of uterine rupture after one previous cesarean section: an unmatched case-control study. Int J Womens Health. 2023; 15: 1491–500. DOI: https://doi.org/10.2147/IJWH.S427749

16. Tanos V., Toney Z.A. Uterine scar rupture – prediction, prevention, diagnosis, and management. Best Pract Res Clin Obstet Gynaecol. 2019; 59: 115–31. DOI: https://doi.org/10.1016/j.bpobgyn.2019.01.009

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