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Abdominal wall endometrioma after cesarean section: a preventable complication
Tarik Wasfie1, Edward Gomez, Silvia Seon
1McLaren Medical Center, Flint, Michigan, USA.
International Surgery
|October 31, 2002
Summary
Abdominal wall scar endometrioma, a complication after cesarean section, can be prevented. Thorough wound cleaning and high-jet saline irrigation before closure are recommended to reduce this risk.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Abdominal wall scar endometrioma is a known complication following cesarean section.
- Preventive measures for this condition have not been clearly defined in existing literature.
Purpose of the Study:
- To investigate the occurrence and potential prevention of abdominal wall scar endometrioma after cesarean section.
Main Methods:
- A retrospective review of six patients presenting with painful masses at cesarean section sites.
- Histological confirmation of endometrioma in all excised masses.
- Surgical exploration and excision of the symptomatic masses.
Main Results:
- Six patients (ages 20-34) presented with painful masses at cesarean section sites.
- Symptom duration ranged from 6 to 84 months.
- Histology confirmed endometrioma in all cases.
Conclusions:
- Abdominal wall scar endometrioma is a significant complication requiring surgical intervention.
- Thorough wound cleaning and vigorous high-jet saline irrigation of the abdominal wall wound before closure are strongly recommended during cesarean sections to prevent endometrioma formation.