Clinical manifestations of abdominal wall endometriosis: a single center experience

Kang, Ju Young; Baek, Jeong‐Heum; Lee, Won Suk; Cho, Tae Ho; Lee, Jung Nam; Lee, Woon Kee; Chung, Min

doi:10.1007/s00404-012-2565-2

Cited by 22 publications

(21 citation statements)

References 20 publications

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“…Most AWEs are associated with uterine surgical procedures such as caesarean section delivery, hysterectomy and amniocentesis; among these, caesarean section is the surgical procedure most frequently related to AWE, with an incidence of approximately 0.03–0.47% . Increasing pain and abdominal mass size in or near the previous surgical scar during menstruation were the most common presentation of AWE . As the caesarean delivery rate has increased to 50% in China, the number of AWE patients has increased concomitantly .…”

Section: Introductionmentioning

confidence: 99%

A comparison between high‐intensity focused ultrasound and surgical treatment for the management of abdominal wall endometriosis

Zhu

Deng

et al. 2017

BJOG

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Objective The aim of this study was to compare the therapeutic outcomes of high-intensity focused ultrasound (HIFU) and surgical treatment for abdominal wall endometriosis.Design A retrospective study.Setting Gynaecological department of a teaching hospital in China.Population Patients with abdominal wall endometriosis.Methods Among the 51 patients, 23 patients were treated with ultrasound-guided HIFU and 28 patients with surgery. Pain relief and the size change of the nodule after each management were evaluated 1, 3, 6 and 12 months after treatment, respectively. The hospital stay and blood loss were also compared.Main outcome measures Difference between HIFU and surgical treatment for abdominal wall endometriosis.Results No statistically significant differences were observed between the two groups in the pain relief in 1, 3, 6 and 12 months after treatment, respectively. The hospital stay was clearly shorter in the HIFU group than in the surgery group. Change in nodules was more remarkable in the group treated with surgery; no palpable nodules existed in most patients in the surgery group. HIFU had more advantages over surgery, such as no blood loss, no new scar, no anaesthesia and lower pain score immediately after treatment.Conclusions Based on our results, it appears that either HIFU or surgery is safe and effective in treating patients with AWE in short-term. Compared with surgery, HIFU treatment for AWE has the advantages of shorter hospital stay, no blood loss, no new scar, no anaesthesia and a lower immediate pain score.Keywords Abdominal wall endometriosis, efficacy, high-intensity focused ultrasound, safety.Tweetable abstract Either HIFU or surgical treatment is safe and effective in treating patients with AWE. HIFU has the advantages of a less invasive procedure and shorter hospital stay.Please cite this paper as: Zhu X, Chen L, Deng X, Xiao S, Ye M, Xue M. A comparison between high-intensity focused ultrasound and surgical treatment for the management of abdominal wall endometriosis. BJOG 2017; 124 (S3): 53-58.

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Section: Introductionmentioning

confidence: 99%

A comparison between high‐intensity focused ultrasound and surgical treatment for the management of abdominal wall endometriosis

Zhu

Deng

et al. 2017

BJOG

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“…This patient required a second surgical intervention. In a retrospective review by Kang et al [6] of 37 AWE cases, there was one recurrence after 34 months from prior surgery. However, the later patient received GnRH-agonist as treatment.…”

Section: Discussionmentioning

confidence: 98%

“…The latter is present in 81% of the cases [2]. In addition, the incidence of AWE after C-section is estimated between 0,03 and 1,08% [4][5][6][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

Case Report of Recurrent Abdominal Wall Endometrioma at the Same Location after Nine Years of Its First Excision

2017

JFIV Reprod Med Genet

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“…Geniş lokal eksizyon sonrası nüks nadirdir ve genellikle kür elde edilmektedir. [18] Agarwal ve Fong [10] çalışmalarının üç yıllık izlemi sonucunda total eksizyonun küratif olduğunu bildirmişlerdir. Bu tedavi şekli endometriyozis olgularında düşük nüks oranının yanı sıra malignite olasılığını dışlama olanağı vermesi ve tanısı endometriyozisle umblikus, inguinal kanal ve rektus abdominalis kası gibi değişik lokalizasyonlarda da tespit edilebilmekte ve genellikle batın duvarı tümörü ön tanısı ile ameliyat edilmektedirler.…”

Section: Discussionunclassified

Rarely seen abdominal wall endometriosis: 8 cases

Eser¹,

Acar²,

Göktaş³

et al. 2013

J Kartal TR

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ÖzetEndometriyozis endometriyal dokunun uterus dışında geliş-mesi olarak tanımlanır. Üreme çağındaki kadınlarda sıklıkla pelvik organ ve peritoneumda bulunmakla birlikte böbrek-lerde, böbreküstü bezlerde, umbilikusda, ciltte, periferik sinirlerde, kalpte, karaciğerde ve kemikte de bulunabilir. Karın duvarında gelişen endometriyozis genellikle sezaryen veya diğer jinekolojik ameliyatlar sonrası oluşmaktadır. Bu yazıda, ameliyat edilen sekiz karın duvarı endometriyozis olgusu literatür eşliğinde sunuldu.Anahtar sözcükler: Cerrahi tedavi; endometriozis; karın duvarı. SummaryEndometriosis is defined as the presence of endometrial tissue outside the uterine cavity. In the childbearing period, it is mostly localized to the pelvic viscera and the peritoneum. Kidneys, surrenal glands, umbilicus, skin, peripheral nerves, heart, liver, and

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Clinical manifestations of abdominal wall endometriosis: a single center experience

Abstract: Physicians should be aware of AWE in any woman presenting with palpable mass and/or pain at the abdominal wall, especially after pelvic surgery. Adequate preoperative estimation and wide excision might be essential for the treatment of AWE.

Cited by 22 publications

References 20 publications

A comparison between high‐intensity focused ultrasound and surgical treatment for the management of abdominal wall endometriosis

A comparison between high‐intensity focused ultrasound and surgical treatment for the management of abdominal wall endometriosis

Case Report of Recurrent Abdominal Wall Endometrioma at the Same Location after Nine Years of Its First Excision

Rarely seen abdominal wall endometriosis: 8 cases

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