HomeVolumesJMA, vol. XIX, iss. 3, 2016ENDOMETRIOSIS OF THE ABDOMINAL WALL AFTER CESAREAN SECTION

ENDOMETRIOSIS OF THE ABDOMINAL WALL AFTER CESAREAN SECTION


ENDOMETRIOSIS OF THE ABDOMINAL WALL AFTER CESAREAN SECTION

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Title: ENDOMETRIOSIS OF THE ABDOMINAL WALL AFTER CESAREAN SECTION
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Article_Title: ENDOMETRIOSIS OF THE ABDOMINAL WALL AFTER CESAREAN SECTION
Authors: Flore Varcus1, Amadeus Dobrescu1*, Fulger Lazar1, Ciprian Duta1, Andrei Hapaianu1, Dan Goldis2, Cristi Tarta1
Affiliation: 1 Surgery II – University of Medicine and Pharmacy “Victor Babes” Timisoara, Romania,
2Surgery I – „Vasile Goldiş” Western University, Arad, Romania
Abstract: The incidence of scar endometrioma increased in our country related to the increased number of cesarean section performed. The aim of our study is to present our experience in treating abdominal wall, especially that we had many cases which needed abdominal wall reconstruction with a mesh implant. We reviewed the papers of 11 patients operated for scar endometriosis between 2013 and 2015. All patients had cesarean section. In four cases reconstruction of the abdominal wall was achieved with mesh. Two patients had decreased sensitivity after surgery below the scar which solved after 6 months. Seroma was most common complication 54.4%. Patients who underwent cesarean section might develop scar endometriosis, which might lead to unnecessary complex surgical procedures with abdominal wall reconstruction and temporary loss of local sensibility.
Keywords: endometriosis, scar endometriosis, surgical excision
References: Jubanyik KJ, Comite F. Extrapelvic endometriosis. Obstet Gynecol Clin North Am.1997;24(2):411-40.
Cárdenas-Lailson L, Berlanga-Ramírez F, Athié-Athié A, Gonzáles-Parada F, Villanueva-Egan L. Endometrioma de pared abdominal: Características clínicas y resultados Del tratamiento quirúrgico [Abdominal wall endometrioma: clinical characteristics and results of surgical treatment]. Cirujano General. 2002;24(4):295-9.
Meirelles M, Losano R, Viana AT. Endometrioma de cicatriz: estudo de 14 casos [Scar endometriosis: study of 14 cases]. Arq Med Hosp Fac Cienc Med Santa Casa São Paulo. 2005;50(3):92-6.
Kaunitz A, Di Sant’Agnese PA. Needle tract endometriosis: an unusual complication of amniocentesis. Obstet Gynecol. 1979;54(6):753-5.
Nominato NS, Prates LFVS, Lauar I, Morais J, Maia L, Geber S. Endometriose de cicatriz cirúrgica: estudo retrospective de 72 casos [Scar endometriosis: a retrospective study of 72 patients]. Rev Bras Ginecol Obstet. 2007;29(8):423-7.
Leite GK, Carvalho LF, Korkes H, Guazzelli TF, Kenj G, Viana Ade T. Scar endometrioma following obstetric surgical incisions: retrospective study on 33 cases and review of the literature. Sao Paulo Med J. 2009 Sep;127(5):270-7.
Higginbottom J. Termination of pregnancy by abdominal hysterotomy. Lancet. 1973;
1(7809):937-8.
Ducarme G, Uzan M, Poncelet C. Endometriosis mimicking hernia recurrence. Hernia. 2007;11(2):175-7.
Delicata RJ, Clark GW, Roy MK, Shaw RW, Carey PD. Presentation of endometriosis to general surgeons: a 10 year experience. Br J Surg. 1996;83(5):711.
Aydin Ö.: Scar endometriosis – a gynecologic pathology often presented to the general surgeon rather than the gynaecologist: report of two cases. Langenbecks Arch Surg 2007, 392, 105-9.
Victory R, Diamond MP, Johns DA. Villar’s nodule: a case report and systematic literature review of endometriosis externa of the umbilicus. J Minim Invasive Gynecol. 2007;14(1):23-32.
Picod G, Boulanger L, Bounoua F, Leduc F, Duval G. Endométriose pariétale sur cicatrice de césarienne: à propos de 15 cas [Abdominal wall endometriosis after caesarean section: report of fifteen cases]. Gynecol Obstet Fertil. 2006;34(1):8-13
Xiang Y, Lang J, Wang Y, Huang R, Lian L. Abdominal scar endometriosis: report of 28 cases. Chin Med Sci J. 1995;10(3):188-90.
Olejek A., Zamłyński J., Podwińska E., Horák S., Paliga-Żytniewska M. & Kellas-
Read_full_article: pdf/vol19/iss3/2 JMA 2016- Tarta – endometrioza.pdf
Correspondence: Amadeus Dobrescu, Surgery II – University of Medicine and Pharmacy “Victor Babes” Timisoara, Romania, Adress: County Emergency Hospital Timisoara, Liviu Rebreanu st, no 136, amadeusdobrescu@yahoo.com

Read full article
Article Title: ENDOMETRIOSIS OF THE ABDOMINAL WALL AFTER CESAREAN SECTION
Authors: Flore Varcus1, Amadeus Dobrescu1*, Fulger Lazar1, Ciprian Duta1, Andrei Hapaianu1, Dan Goldis2, Cristi Tarta1
Affiliation: 1 Surgery II – University of Medicine and Pharmacy “Victor Babes” Timisoara, Romania,
2Surgery I – „Vasile Goldiş” Western University, Arad, Romania
Abstract: The incidence of scar endometrioma increased in our country related to the increased number of cesarean section performed. The aim of our study is to present our experience in treating abdominal wall, especially that we had many cases which needed abdominal wall reconstruction with a mesh implant. We reviewed the papers of 11 patients operated for scar endometriosis between 2013 and 2015. All patients had cesarean section. In four cases reconstruction of the abdominal wall was achieved with mesh. Two patients had decreased sensitivity after surgery below the scar which solved after 6 months. Seroma was most common complication 54.4%. Patients who underwent cesarean section might develop scar endometriosis, which might lead to unnecessary complex surgical procedures with abdominal wall reconstruction and temporary loss of local sensibility.
Keywords: endometriosis, scar endometriosis, surgical excision
References: Jubanyik KJ, Comite F. Extrapelvic endometriosis. Obstet Gynecol Clin North Am.1997;24(2):411-40.
Cárdenas-Lailson L, Berlanga-Ramírez F, Athié-Athié A, Gonzáles-Parada F, Villanueva-Egan L. Endometrioma de pared abdominal: Características clínicas y resultados Del tratamiento quirúrgico [Abdominal wall endometrioma: clinical characteristics and results of surgical treatment]. Cirujano General. 2002;24(4):295-9.
Meirelles M, Losano R, Viana AT. Endometrioma de cicatriz: estudo de 14 casos [Scar endometriosis: study of 14 cases]. Arq Med Hosp Fac Cienc Med Santa Casa São Paulo. 2005;50(3):92-6.
Kaunitz A, Di Sant’Agnese PA. Needle tract endometriosis: an unusual complication of amniocentesis. Obstet Gynecol. 1979;54(6):753-5.
Nominato NS, Prates LFVS, Lauar I, Morais J, Maia L, Geber S. Endometriose de cicatriz cirúrgica: estudo retrospective de 72 casos [Scar endometriosis: a retrospective study of 72 patients]. Rev Bras Ginecol Obstet. 2007;29(8):423-7.
Leite GK, Carvalho LF, Korkes H, Guazzelli TF, Kenj G, Viana Ade T. Scar endometrioma following obstetric surgical incisions: retrospective study on 33 cases and review of the literature. Sao Paulo Med J. 2009 Sep;127(5):270-7.
Higginbottom J. Termination of pregnancy by abdominal hysterotomy. Lancet. 1973;
1(7809):937-8.
Ducarme G, Uzan M, Poncelet C. Endometriosis mimicking hernia recurrence. Hernia. 2007;11(2):175-7.
Delicata RJ, Clark GW, Roy MK, Shaw RW, Carey PD. Presentation of endometriosis to general surgeons: a 10 year experience. Br J Surg. 1996;83(5):711.
Aydin Ö.: Scar endometriosis – a gynecologic pathology often presented to the general surgeon rather than the gynaecologist: report of two cases. Langenbecks Arch Surg 2007, 392, 105-9.
Victory R, Diamond MP, Johns DA. Villar’s nodule: a case report and systematic literature review of endometriosis externa of the umbilicus. J Minim Invasive Gynecol. 2007;14(1):23-32.
Picod G, Boulanger L, Bounoua F, Leduc F, Duval G. Endométriose pariétale sur cicatrice de césarienne: à propos de 15 cas [Abdominal wall endometriosis after caesarean section: report of fifteen cases]. Gynecol Obstet Fertil. 2006;34(1):8-13
Xiang Y, Lang J, Wang Y, Huang R, Lian L. Abdominal scar endometriosis: report of 28 cases. Chin Med Sci J. 1995;10(3):188-90.
Olejek A., Zamłyński J., Podwińska E., Horák S., Paliga-Żytniewska M. & Kellas-
*Correspondence: Amadeus Dobrescu, Surgery II – University of Medicine and Pharmacy “Victor Babes” Timisoara, Romania, Adress: County Emergency Hospital Timisoara, Liviu Rebreanu st, no 136, amadeusdobrescu@yahoo.com

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