Background: Endometriosis is a disorder in which an ectopic endometrial tissue grows outside the uterine cavity. The ectopic endometrium in abdominal wall is called as abdominal wall endometriosis (AWE). AWE is a very rare condition and exact incidence is not known. This is usually known to develop along with previous surgical scars especially following Caesarean section and Hysterectomy.Methods: Retrospective analysis of the patients operated for AWE was done. Data relating to age, symptomology, and previous caesarean section, relation to symptoms with the menstrual cycle, physical examination, surgical treatment and post-operative course was analyzed.Results: 16 patients were operated during the study period of 3 years between September 2013-september 2016.The ages ranged between 20-35 years. Presences of local mass and cyclical pain during menstruation were the main symptoms. Ultrasonography was done in all the cases and CT abdomen was done in few cases (2) to know the exact depth of the mass and to differentiate from other diseases. Wide surgical excision was carried out in all cases.Conclusions: There is definite relationship with AWE and caesarean sections in women.

Background: Incisional hernia is due to failure of lines of closure of abdominal wall following laparotomy. Bowel or a part of bowel or omentum can bulge through the gap. The early occurrence (within 5 years) is mainly due to early sepsis and obesity. Objective of present study was to assess the factors contributing for the occurrence of incisional hernia.Methods: All the women who were operated between March 2014-December 2016 using a low transverse Pfannenstiel incision and who did not have any other lower (vertical) incisions and laparoscopic surgeries were followed up in the outpatient department. 1,252 cases were followed up during the above-mentioned period and the detail history was elicited and meticulous physical examination was conducted. USG Abdomen was done in all the cases. Out of 1,252 cases 25 were having incisional hernia and mesh repair was done for incisional hernia.Results: Nearly 2% of these cases had incisional hernia. Obesity was the main risk factor in 36% of the study participants followed by wound infection in 32%.Conclusions: Obesity, redo surgeries, size of the incision and type of suture materials used contribute to the formation of incisional hernia. Although the incidence is low still incisional hernia can occur following Pfannenstiel low transverse abdominal incision.