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Related Experiment Video

Updated: May 15, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
11:29

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma

Published on: January 22, 2022

Surgical scar endometriosis.

Massimiliano Mistrangelo1, Nicholas Gilbo, Paola Cassoni

  • 1Department of Digestive and Colorectal Surgery, Centre of Minimal Invasive Surgery, Molinette Hospital, University of Turin, Cso A.M. Dogliotti 14, 10126, Turin, Italy, mistrangelo@katamail.com.

Surgery Today
|January 12, 2013
PubMed
Summary

Surgical scar endometriosis, a painful mass after cesarean section, is diagnosed via histology. Complete surgical excision with 1 cm margins is crucial to prevent recurrence of this endometriosis complication.

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Published on: December 21, 2012

Area of Science:

  • Gynecology
  • Surgical Pathology

Background:

  • Endometriosis is a prevalent condition in women of reproductive age.
  • Surgical scar endometrioma, a rare complication of cesarean sections, presents as a painful abdominal mass.
  • Diagnosis is often delayed, relying on histological confirmation.

Observation:

  • This study reviewed five patients diagnosed with scar endometriosis.
  • The average age at diagnosis was 38.6 years, older than previously reported.
  • Scar masses were located in Pfannenstiel or median cesarean section incisions.

Findings:

  • Histological examination confirmed endometriosis in all surgical specimens.
  • One case of local recurrence and one case of pelvic recurrence were observed.
  • Recurrences were successfully managed with further surgery.

Implications:

  • Surgical excision with wide margins (1 cm) is the recommended treatment to minimize recurrence.
  • Exploratory laparoscopy may be necessary for symptomatic patients to rule out associated pelvic endometriosis.
  • Early recognition and complete resection are key for managing surgical scar endometriosis.