Preventable surgical complication: insights from 33 abdominal wall endometriosis cases
Öz
Purpose: The aim of this study was to report the diagnosis, treatment and follow-up results of patients operated with the diagnosis of abdominal wall endometriosis and to investigate its preventability.
Materials and Methods: This retrospective study included 33 patients who underwent surgery for abdominal wall endometriosis between 2021 and 2024. Diagnostic processes, treatment and follow-up results of the patients were evaluated. Patients were analyzed in terms of age, during from the last pelvic surgery to endometriosis excision, endometriosis location, endometriosis size, mesh use and recurrence.
Results: 33 patients were included in the study and the mean age was 32.91±5.64 years. Endometriosis lesions were detected at the Pfannenstiel incision line in all patients, 32 of them had a history of cesarean section and 1 patient had a history of oophorectomy. The lesions were located in the right corner in 19 patients, in the left corner in 12 patients and in the midline of the incision line in 2 patients. Follow-up period was 47.24±25.07 months and no recurrence or hernia was observed in any of the patients.
Conclusion: Abdominal wall endometriosis is a preventable complication, and it is necessary to avoid using the remaining vicryl in the fascia during uterine closure during cesarean section and to prevent intraoperative contamination.
Anahtar Kelimeler
Caesarean, Endometriosis, Excision
Destekleyen Kurum
No financial support was used by authors during this study.
Etik Beyan
Ethical permission was obtained from the Mersin University, Medical Faculty Clinical Research Ethics Committee for this study with date 27/11/2024 and number 2024/1160.
Kaynakça
- Chapron C, Marcellin L, Borghese B, Santulli P. Rethinking mechanisms, diagnosis and management of endometriosis. Nat Rev Endocrinol. 2019;15:666-82.
- Falcone T, Flyckt R. Clinical management of endometriosis. Obstet Gynecol. 2018;131:557-71.
- Morales Martínez C, Tejuca Somoano S. Abdominal wall endometriosis. Am J Obstet Gynecol. 2017;217:701-2.
- 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;127:270-7.
- Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases. Am J Surg. 2008;196:207-12.
- Zhong Q, Qin S, Lai H, Yao S, Chen S. Risk factors for postoperative recurrence of cesarean scar endometriosis. AJOG Glob Rep. 2024;4:100349.
- Zhang P, Sun Y, Zhang C, Yang Y, Zhang L, Wang N et al. Cesarean scar endometriosis: presentation of 198 cases and literature review. BMC Womens Health. 2019;19:14.
- Yang E, Chen GD, Liao YH. Spontaneous abdominal wall endometriosis: A case report and review of the literature. Taiwan J Obstet Gynecol. 2023;62:155-7.
- Teng CC, Yang HM, Chen KF, Yang CJ, Chen LS et al. Abdominal wall endometriosis: an overlooked but possibly preventable complication. Taiwan J Obstet Gynecol. 2008;47:42-8.
- Carsote M, Terzea DC, Valea A, Gheorghisan-Galateanu AA. Abdominal wall endometriosis (a narrative review). Int J Med Sci. 2020;17:536-42.
