Symptomatology and Surgical Perspective of Scar Endometriosis: A Case Series of 16 Women

Abstract

In all women presenting with cyclical scar site pain and swelling, scar endometriosis should be considered. It commonly follows caesarean section and laparoscopic surgeries done for endometriosis. Wide local excision with or without reconstruction is the method of choice for this condition. Role of tumescent solution during surgery and postoperative medical management to reduce recurrence needs further prospective studies.

Abdominal wall endometriosis: an update in clinical, imagistic features, and management options

“…UAE is reported to be associated with pelvic endometriosis is reported to be between 5.3% in a study by Ding and Zhu to 14.2-26% of cases [18,23].…”

“…They hypothesized that suboptimal closure of either the uterine incision or the pelvic and abdominal layers due to the surgical difficulties encountered in obese patients may explain and support the implantation theory [17]. Sumathy et al consider that the popularisation of single-layer closure of the uterus and nonclosure of parietal and visceral peritoneum could be risk factors [18].…”

“…On gross specimen, the endometriotic tissue appears as a pinkish mass of firm consistency, and sometimes microcysts with brown material can be clearly distinguished from the surrounding yellowish subcutaneous fat [18]. When present in the muscle, AWE can also be easily distinguished due to its irregular appearance and hard consistency [18].…”

“…When present in the muscle, AWE can also be easily distinguished due to its irregular appearance and hard consistency [18]. The literature reviewed reported that the average lesion size ranged from 2.3 to 3.2 cm, whereas the largest lesion measured 12 cm [24,25].…”

“…Usually a high rate of recurrence (9.1%) is related to a previous inadequate resection of the endometriotic lesion [31]. The margins should be at least 1 cm [18].…”