Ramos-Reyes Á, Ugalde MAB, Galván LA, Audiffred SJR, Rivas LR

Language: Spanish
References: 19
Page: 639-643
PDF size: 1354.38 Kb.

ABSTRACT

Introduction: endometriosis and adenomyosis are chronic-progressive gynecological disorders characterized by ectopic endometrial tissue outside the uterus and within the myometrium, respectively. Both conditions impair fertility and have high recurrence rates postsurgery. Robotic reproductive surgery, enhanced by tools like indocyanine green (ICG), enables uterus- and ovary-sparing excisional procedures. Case report: a 37-year-old patient with menorrhagia, dysmenorrhea, and secondary infertility, with prior spontaneous pregnancy and a history of myomectomy and left endometrioma cystectomy, underwent Magnetic Resonance Imaging (MRI) showing focal anterior adenomyosis (5.3 × 4.7 cm) and a left ovarian endometrioma (5.5 × 5.2 cm). A uterus- and ovary-preserving robotic approach was performed. Intrauterine diluted ICG was utilized to optimize precise lesion excision while preserving the uterus and fully resecting the endometrioma. Conclusion: robotic surgery with ICG guidance enables accurate excision in endometriosis and adenomyosis, restoring pelvic anatomy and improving fertility potential.

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