A retrospective study of 17 patients who had excision of abdominal wall endometriosis after caesarean section over an 11-year period

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F17%3A43916229" target="_blank" >RIV/00216208:11120/17:43916229 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00023698:_____/17:N0000002

Výsledek na webu

<a href="http://dx.doi.org/10.5301/jeppd.5000300" target="_blank" >http://dx.doi.org/10.5301/jeppd.5000300</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5301/jeppd.5000300" target="_blank" >10.5301/jeppd.5000300</a>

Jazyk výsledku

angličtina

Název v původním jazyce

A retrospective study of 17 patients who had excision of abdominal wall endometriosis after caesarean section over an 11-year period

Popis výsledku v původním jazyce

Introduction: The aim of our study was to retrospectively learn about the incidence of abdominal wall endometriosis (AWE) after caesarean section (CS) in our Perinatal Centre (Perinatal Centre of the Institute for the Care of Mother and Child), one of the largest in the Czech Republic. Methods: This is a retrospective review of hospital records on 18,454 caesarean deliveries between 2003 and 2014. Results: A total of 17 cases of caesarean scar endometriosis (also known as AWE) were identified. The median age was 36.0 (33.5-43.5) years. In 10 patients, the cyclic pain was present. The median interval between CS and first symptoms was 3.0 (1.0-6.5) years. Ultrasound supported the diagnosis by the identification of hypoechogenic lesions in all patients. The median interval between symptoms development and surgical excision was 1.0 year (1.0-4.0 years). Excision was the mode of treatment. Excisions with clear margins (15 cases) were curative to all those patients. Two patients with involved margins had recurrences at 6 and 8 months, respectively, and were treated with a second resection with no further surgery. No malignant transformation cases were identified. Conclusions: Physicians should be highly suspicious of CS scar endometriosis, especially after uterine surgery. Complete excision is the only curative treatment.

Název v anglickém jazyce

A retrospective study of 17 patients who had excision of abdominal wall endometriosis after caesarean section over an 11-year period

Popis výsledku anglicky

Introduction: The aim of our study was to retrospectively learn about the incidence of abdominal wall endometriosis (AWE) after caesarean section (CS) in our Perinatal Centre (Perinatal Centre of the Institute for the Care of Mother and Child), one of the largest in the Czech Republic. Methods: This is a retrospective review of hospital records on 18,454 caesarean deliveries between 2003 and 2014. Results: A total of 17 cases of caesarean scar endometriosis (also known as AWE) were identified. The median age was 36.0 (33.5-43.5) years. In 10 patients, the cyclic pain was present. The median interval between CS and first symptoms was 3.0 (1.0-6.5) years. Ultrasound supported the diagnosis by the identification of hypoechogenic lesions in all patients. The median interval between symptoms development and surgical excision was 1.0 year (1.0-4.0 years). Excision was the mode of treatment. Excisions with clear margins (15 cases) were curative to all those patients. Two patients with involved margins had recurrences at 6 and 8 months, respectively, and were treated with a second resection with no further surgery. No malignant transformation cases were identified. Conclusions: Physicians should be highly suspicious of CS scar endometriosis, especially after uterine surgery. Complete excision is the only curative treatment.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30214 - Obstetrics and gynaecology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2017

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Journal of Endometriosis and Pelvic Pain Disorders

ISSN

2284-0265

e-ISSN

—

Svazek periodika

9

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

4

Strana od-do

293-296

Kód UT WoS článku

000416790600011

EID výsledku v databázi Scopus

2-s2.0-85040522687