PUSH Approach

This book introduces a novel surgery for treating diffuse adenomyosis (DAD) and diffuse uterine leiomyomatosis (DUL), two conditions commonly encountered in women of reproductive age. Both diseases share similar symptoms, including dysmenorrhea, menorrhagia, uterine enlargement, and infertility. For severe cases of DAD and DUL, surgical approaches are often the only option to preserve or restore a patient’s fertility, though it presents significant challenges. The PUSH (Process for Uterine Structural Healing) Approach, a novel approach developed by a team led by Dr. Ruifang Wu and Dr. Liping Zeng from Peking University Shenzhen Hospital (PUSH), provides a surgical solution for patients with DAD and DUL. The data of over 500 DAD and 60 DUL patients who underwent the PUSH Approach and the pregnancy outcome from some of them demonstrate that it is highly effective in achieving radical excision of DAD/DUL lesions, resulting in symptom relief and satisfactory preservation of the functional uterine anatomy for fertility. This book explains the rationale and mechanism, detailed procedures, and perioperative management of the PUSH Approach, with particular focus on its features, which form the basis for lesion type- and location-specific surgical protocols. This book not only provides significant referral information about PUSH Approach to professionals but also conveys key messages on uterine health and fertility preservation to all readers.