{"paper_id":"4236d3f5-286f-4108-b107-dd5219a5f5af","body_text":"Abstract\nAim\nThe prevalence of scar endometriosis is increasing with the increasing caesarean deliveries and laparoscopic procedures done for pelvic endometriosis. To analyse the symptomatology and surgical perspective of scar endometriosis.\nMaterials and methods\nRetrospective review of 16 women who underwent surgery for scar endometriosis in the period of 4 years in Amrita institute of medical sciences.\nResults\nMean age of the patients is 35.19 years. Mean interval from the index surgery to the presentation is 4.56 years. Mean size of the swelling is 2.84 cm. In 68.8% of the patients, caesarean section was the inciting surgery. 18.7% had port site endometriosis. Cyclical pain and swelling at the scar site was present in 93.8% of the women. 18.9% had concurrent pelvic endometriosis. All women had involvement of the subcutaneous tissue followed by 11 women with the involvement of rectus sheath. There was no recurrence of the lesion in the operated patients in the mean follow-up period of 11.91 months.\nConclusion\nIn all women presenting with cyclical scar site pain and swelling, scar endometriosis should be considered. It commonly follows caesarean section and laparoscopic surgeries done for endometriosis. Wide local excision with or without reconstruction is the method of choice for this condition. Role of tumescent solution during surgery and postoperative medical management to reduce recurrence needs further prospective studies.\nSimilar content being viewed by others\nReferences\nOh EM, Lee WS, Kang JM, et al. A Surgeon’s perspective of abdominal wall endometriosis at a caesarean section incision: nine cases in a single institution. Surg Res Pract. 2014;765372. (Epub 2014 Sep 22).\nEmre A, Akbulut S, Yilaz M, et al. Laparoscopic trocar port site endometriosis: a case report and brief literature review. Int Surg. 2012;97:135–9.\nDing Y, Zhu J. A retrospective review of abdominal wall endometriosis in Shanghai, China. Int J Gynecol Obstet. 2013;121:41–4.\nGidwaney R, Badler RL, Yam BL, et al. Endometriosis of abdominal and pelvic wall scars: multimodality imaging findings, pathologic correlation, and radiologic mimics. Radiographics. 2012;32(7):2031–43. doi:10.1148/rg.327125024.\nPachori G, Sharma R, Sunaria R, et al. Scar endometriosis: diagnosis by fine needle aspiration. J Cytol. 2015;32(1):65–7.\nZhao X, Lang J, Leng J, et al. Abdominal wall endometriomas. Int J Gynaecol Obstet. 2015;90:218–22.\nBashir MM, Qayyum R, Saleem MH, et al. Effect of Time interval between tumescent local anesthesia infiltration and start of surgery on operative field visibility in hand surgery without tourniquet. J Hand Surg Am. 2015;40(8):1606–9. doi:10.1016/j.jhsa.2015.03.034 (Epub 2015 May 13).\nEcker AM, Bonnellan NM, Shepherd JP, et al. Abdominal wall endometriosis: 12 years experience at a large academic institution. Am J Obstet Gynecol. 2014;211:363.e1-5.\nKhamechian T, Alizargar J, Mazoochi T. 5 year data analysis of patients following abdominal wall endometriosis surgery. BMC Womens Health. 2014;14:151.\nZhang J, Liu X. Clinicopathological features of endometriosis in abdominal wall-clinical analysis of 151 cases. Clin Exp Obstet Gynecol. 2016;43(3):379–83.\nUçar MG, Şanlıkan F, Göçmen A. Surgical treatment of scar endometriosis following cesarean section, a series of 12 cases. Indian J Surg. 2015;77(Suppl 2):S682–6.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEthics declarations\nConflict of interest\nThis is an original article based on a retrospective study performed at Amrita Institute of Medical Sciences, Kochi, Kerala, India. The authors, Sudha S, Janu Mangalakanthi, Kishore P, Deepti Sharma, Chitra Remadevi and Sarala Sreedhar declare that there is no conflict of interest related to this work.\nInformed Consent\nInformed consent has been taken from all patients and there are no ethical issues related to this study.\nAdditional information\nDr. Sudha Sumathy is a Clinical Professor in Department of Obstetrics and Gynaecology at Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham; Dr. Janu Mangalakanthi is a Clinical Associate Professor in Department of Obstetrics and Gynaecology at Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham; Dr. Kishore Purushothaman is a Clinical Associate Professor in Department of Plastic and Reconstructive Surgery at Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham; Dr. Deepti Sharma is a Clinical Professor in Department of Obstetrics and Gynaecology at Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham; Dr. Chithra Remadevi is a Clinical Associate professor in Department of Obstetrics and Gynaecology at Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham; Dr. Sarala Sreedhar is a Clinical Professor in Department of Obstetrics and Gynaecology at Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham.\nElectronic supplementary material\nBelow is the link to the electronic supplementary material.\nRights and permissions\nAbout this article\nCite this article\nSumathy, S., Mangalakanthi, J., Purushothaman, K. et al. Symptomatology and Surgical Perspective of Scar Endometriosis: A Case Series of 16 Women. J Obstet Gynecol India 67, 218–223 (2017). https://doi.org/10.1007/s13224-016-0945-4\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s13224-016-0945-4","source_license":"CC0","license_restricted":false}