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Postoperative scar endometriosis of the anterior abdominal wall

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dc.contributor.author Vasilev, Vladislav
dc.contributor.author Zaharia, Sergiu
dc.contributor.author Madan, Diana
dc.contributor.author Mishina, Ana
dc.date.accessioned 2020-07-08T05:00:52Z
dc.date.available 2020-07-08T05:00:52Z
dc.date.issued 2016
dc.identifier.citation VASILEV, Vladislav, ZAHARIA, Sergiu, MADAN, Diana, MISHINA, Ana. Postoperative scar endometriosis of the anterior abdominal wall. In: MedEspera: the 6th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2016, p. 122. en_US
dc.identifier.isbn 978-9975-3028-3-8.
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/11118
dc.description N. Anestiadi Department of Surgery and Laboratory of Hepato-Pancreato-Biliary Surgery, Nicolae Testemitanu State University ofMedicine and Pharmacy, Chisinau, Republic of Moldova, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016 en_US
dc.description.abstract Introduction: Postoperative scar endometriosis (PSE) is a rare pathology caused by gynecological-obstetrical surgery. The aim of the study was to assess PSE of the anterior abdominal wall. Material and methods: The research included 26 consecutive cases of the anterior abdominal wall PSE surgically treated during 1991-2015. Results: The mean age of the patients with PSE was 31.1±1.1 (95% CI:28.85-33.30) years. PSE developed after 45.8±3.2 (95% CI:39.27-52.34) months. PSE developed after caesarian section (88.4%, n=23), laparoscopic surgery (7.6%, n=2) and myomectomy (3.8%, n=1). A mass was found in the postoperative scar (n=28). Pfannenstiel incision (n=23), inferior median (n=2), umbilical (n=1). Monofocal vs bifocal PSE (92% vs. 8%, p<0.0001). PSE in the left corner of the postoperative scar in 76.9% (n=20). Cyclic pain was the main symptom (57.6%, n=15). The diagnostic workout included: ultrasonography with Doppler (n=9), CT and MRI (n=10). PSE was localized in the abdominal wall layers as follows: subcutaneous vs. fascia and muscles vs. rectus abdominis muscle vs. umbilicus (30.7% vs. 53.8% vs. 11.5% vs.3.8%, p<0.0001). All the patients underwent enbloc surgical excision of the PSE. The aponeurosis defect was closed by: aponeurosis suture in 23/26 (88.4%) patients, abdominal alloplasty with synthetic meshes (n=3). Diagnosis was confirmed histopathologically and immunohistochemically (CD10, PR, ERα, CK7). Conclusion: Imaging methods (ultrasonography with Doppler, CT and MRI) have an important role in establishing the diagnosis of PSE and surgical tactics. Definitive diagnosis is confirmed histopathologically and immunohistochemically. en_US
dc.language.iso en en_US
dc.publisher MedEspera en_US
dc.title Postoperative scar endometriosis of the anterior abdominal wall en_US
dc.type Article en_US


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  • MedEspera 2016
    The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016

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