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Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
Published on: May 10, 2024
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Incisional endometriomas after Cesarean section: a case series.
Steven Minaglia1, Daniel R Mishell, Charles A Ballard
1From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, USA.
The Journal of Reproductive Medicine
|September 13, 2007
Summary
Incisional endometriomas after cesarean section are rare (0.08%). Surgical excision is the optimal treatment for these scar endometriomas, with no recurrence observed post-surgery.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Endometriomas can develop in surgical scars following cesarean sections.
- These scar endometriomas present a diagnostic and therapeutic challenge.
Purpose of the Study:
- To review a series of women diagnosed with endometriomas in cesarean section scars.
- To determine the incidence, clinical presentation, and optimal management of incisional endometriomas.
Main Methods:
- Retrospective review of 37 patients with incisional endometriomas.
- Data collected from a comprehensive surgical database (1975-2005).
- Medical records of 33 patients were available for detailed analysis.
Main Results:
- Endometriomas ranged from 1-12 cm in diameter, appearing 6 months to 9 years post-cesarean section.
- Needle aspiration of characteristic fluid aided diagnosis.
- Medical therapies (GnRH agonist, progestins, OCPs) were ineffective.
- All 33 patients achieved complete cure through surgical excision.
Conclusions:
- The incidence of incisional endometriomas post-cesarean section was 0.08% over 30 years.
- Surgical excision is the definitive and optimal treatment.
- Failure to suture the peritoneum during cesarean section may increase endometrioma risk.
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