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Post-cesarean scar endometriosis

OBJECTIVE: Endometriosis is seen in women during their reproductive period, where stromal tissue and functional endometrial glands of the uterus are observed outside the uterine cavity. In this study, we aimed to identify the clinical characteristics of our patients who underwent surgery with scar e...

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Autores principales: Yıldırım, Doğan, Tatar, Cihad, Doğan, Ozan, Hut, Adnan, Dönmez, Turgut, Akıncı, Muzaffer, Toptaş, Mehmet, Bayık, Rahime Nida
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894534/
https://www.ncbi.nlm.nih.gov/pubmed/29662714
http://dx.doi.org/10.4274/tjod.90922
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author Yıldırım, Doğan
Tatar, Cihad
Doğan, Ozan
Hut, Adnan
Dönmez, Turgut
Akıncı, Muzaffer
Toptaş, Mehmet
Bayık, Rahime Nida
author_facet Yıldırım, Doğan
Tatar, Cihad
Doğan, Ozan
Hut, Adnan
Dönmez, Turgut
Akıncı, Muzaffer
Toptaş, Mehmet
Bayık, Rahime Nida
author_sort Yıldırım, Doğan
collection PubMed
description OBJECTIVE: Endometriosis is seen in women during their reproductive period, where stromal tissue and functional endometrial glands of the uterus are observed outside the uterine cavity. In this study, we aimed to identify the clinical characteristics of our patients who underwent surgery with scar endometriosis and to discuss the surgical results in light of the literature. MATERIALS AND METHODS: A total of 24 patients who underwent surgery and diagnosed as having endometriosis as the result of a pathologic examination were retrospectively evaluated. RESULTS: The mean age of the patients was 31 years. Thirteen presented to general surgery and 11 presented to gynecology outpatient clinics. The pain was cyclical in 19 patients. There was history of cesarean section in 9 patients, twice in 12, and 3 times in three patients. The mean diameter was 39.1 mm on ultrasound, and 37.5 mm on magnetic resonance imaging. Endometriosis was on the left side of the incisions in 13, whereas it was on the right in 11. The mean weight of the lesions was 61.6 grams. CONCLUSION: The occurrence of endometriosis is supported by the iatrogenic implantation theory. In the event of a mass in the abdominal wall, previous obstetric and gynecologic operations and a history of a painful mass during menstruation periods must be questioned. In the treatment of scar endometriosis, excision is required by obtaining secure margins. If diagnosis can be established preoperatively, unnecessary surgeries can prevented.
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spelling pubmed-58945342018-04-16 Post-cesarean scar endometriosis Yıldırım, Doğan Tatar, Cihad Doğan, Ozan Hut, Adnan Dönmez, Turgut Akıncı, Muzaffer Toptaş, Mehmet Bayık, Rahime Nida Turk J Obstet Gynecol Clinical Investigation OBJECTIVE: Endometriosis is seen in women during their reproductive period, where stromal tissue and functional endometrial glands of the uterus are observed outside the uterine cavity. In this study, we aimed to identify the clinical characteristics of our patients who underwent surgery with scar endometriosis and to discuss the surgical results in light of the literature. MATERIALS AND METHODS: A total of 24 patients who underwent surgery and diagnosed as having endometriosis as the result of a pathologic examination were retrospectively evaluated. RESULTS: The mean age of the patients was 31 years. Thirteen presented to general surgery and 11 presented to gynecology outpatient clinics. The pain was cyclical in 19 patients. There was history of cesarean section in 9 patients, twice in 12, and 3 times in three patients. The mean diameter was 39.1 mm on ultrasound, and 37.5 mm on magnetic resonance imaging. Endometriosis was on the left side of the incisions in 13, whereas it was on the right in 11. The mean weight of the lesions was 61.6 grams. CONCLUSION: The occurrence of endometriosis is supported by the iatrogenic implantation theory. In the event of a mass in the abdominal wall, previous obstetric and gynecologic operations and a history of a painful mass during menstruation periods must be questioned. In the treatment of scar endometriosis, excision is required by obtaining secure margins. If diagnosis can be established preoperatively, unnecessary surgeries can prevented. Galenos Publishing 2018-03 2018-03-29 /pmc/articles/PMC5894534/ /pubmed/29662714 http://dx.doi.org/10.4274/tjod.90922 Text en ©Copyright 2018 by Turkish Society of Obstetrics and Gynecology Turkish Journal of Obstetrics and Gynecology published by Galenos Publishing House. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Investigation
Yıldırım, Doğan
Tatar, Cihad
Doğan, Ozan
Hut, Adnan
Dönmez, Turgut
Akıncı, Muzaffer
Toptaş, Mehmet
Bayık, Rahime Nida
Post-cesarean scar endometriosis
title Post-cesarean scar endometriosis
title_full Post-cesarean scar endometriosis
title_fullStr Post-cesarean scar endometriosis
title_full_unstemmed Post-cesarean scar endometriosis
title_short Post-cesarean scar endometriosis
title_sort post-cesarean scar endometriosis
topic Clinical Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894534/
https://www.ncbi.nlm.nih.gov/pubmed/29662714
http://dx.doi.org/10.4274/tjod.90922
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