Clinical efficacy and safety of subtotal resection of adenomyotic lesions based on the Kishi classification: a retrospective case series study - Takeaways - MDSpire

Clinical efficacy and safety of subtotal resection of adenomyotic lesions based on the Kishi classification: a retrospective case series study

  • By

  • Zhenyue Qin

  • Dan Song

  • Zhiyong Dong

  • Bingying Lu

  • Weiwei Wei

  • Jiming Chen

  • June 11, 2026

  • 0 min

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  • 1

    The study analyzed 34 patients with severe adenomyosis who underwent subtotal resection based on Kishi classification and received postoperative therapy.

  • 2

    Significant improvements were observed in dysmenorrhea severity, menstrual blood loss, hemoglobin levels, CA125 levels, and uterine volume post-surgery.

  • 3

    Only one patient experienced a minor complication, indicating a high safety profile for the combined treatment approach.

  • 4

    No disease progression was noted in any patient during the 12-month observation period following the treatment.

  • 5

    The findings suggest that subtotal resection combined with LNG-IUS and GnRH-a may be an effective option for managing severe adenomyosis.

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