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Endometriosis de la pared abdominal en Ucrania: Un estudio multicéntrico

Aidyn G Salmanov¹, Volodymyr V Artyomenko², Victor O Rud³

¹UKRAINIAN CENTER OF MATERNITY AND CHILDHOOD OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE, KYIV, UKRAINE; THE ZARIFA ALIYEVA INTERNATIONAL CENTER OF MEDICAL SCIENCE, KYIV, UKRAINE.

Wiadomosci lekarskie (Warsaw, Poland : 1960)

|February 1, 2026

Resumen

La endometriosis de la pared abdominal (EPA) afecta al 4,2% de las mujeres con cicatrices quirúrgicas en Ucrania, ocurriendo con mayor frecuencia después de las cesáreas. Esta afección se presenta como una masa palpable y dolor cíclico, que requiere confirmación histopatológica para su diagnóstico.

Área de la Ciencia:

Ginecología; Patología Quirúrgica; Epidemiología

Sus antecedentes:

La endometriosis es una afección en la que el tejido similar al revestimiento del útero crece fuera del útero.; La endometriosis de la pared abdominal (EPA) es una forma rara, a menudo asociada con cicatrices quirúrgicas.; La endometriosis de la cicatriz de cesárea (ECC) es un subtipo de EPA.

Objetivo del estudio:

Determinar la incidencia de EPA en Ucrania.; Analizar los hallazgos clínicos, de imagen e histopatológicos de pacientes con ECC.

Principales métodos:

Se realizó un estudio de cohorte retrospectivo multicéntrico de enero de 2020 a diciembre de 2024.; Se analizaron datos de 9.157 mujeres en edad reproductiva con masas dolorosas en áreas de cicatrices quirúrgicas en 27 hospitales de Ucrania.; Las definiciones de endometriosis siguieron las directrices de la OMS.

Principales resultados:

La incidencia de EPA fue del 4,2% (387/9.157).; La endometriosis de la cicatriz de cesárea representó el 82,2% de los casos de EPA.; Los síntomas principales incluyeron masa abdominal palpable (100%) y dolor cíclico (86,8%). El período de latencia desde la cesárea hasta el inicio de los síntomas fue de aproximadamente 31,8 meses.

Conclusiones:

La endometriosis de la pared abdominal es relativamente infrecuente en Ucrania, y surge típicamente de cicatrices quirúrgicas obstétricas o ginecológicas.; La endometriosis de la cicatriz de cesárea es la forma más frecuente de EPA observada en este estudio.; El diagnóstico se basa en el examen histopatológico.

Palabras clave:

Ucrania endometriosis de la pared abdominal endometriosis de la cicatriz de cesárea cesárea incidencia endometriosis de la cicatriz

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