{"paper_id":"56acd089-0795-4017-8a99-f5088b5821d9","body_text":"Login to your account\nAAGL Member Login\nAAGL Member, full access to the journal is a member benefit. Use your society credentials to access all journal content and features.\nDon’t have an account?\nCreate a Free AccountAAGL Member, full access to the journal is a member benefit. Use your society credentials to access all journal content and features.\nIf you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. You will then receive an email that contains a secure link for resetting your password\nIf the address matches a valid account an email will be sent to __email__ with instructions for resetting your password\nADVERTISEMENT\nSCROLL TO CONTINUE WITH CONTENT\n| Property | Value |\n|---|---|\n| Status | |\n| Version | |\n| Ad File | |\n| Disable Ads Flag | |\n| Environment | |\n| Moat Init | |\n| Moat Ready | |\n| Contextual Ready | |\n| Contextual URL | |\n| Contextual Initial Segments | |\n| Contextual Used Segments | |\n| AdUnit | |\n| SubAdUnit | |\n| Custom Targeting | |\n| Ad Events | |\n| Invalid Ad Sizes |\nAccess provided by\nVideo Session 04 - Endometriosis |\n(2:00 PM — 3:00), 2:29 PMVolume 32, Issue 11, Supplement S17-S18November 2025\nObstetrics and Gynecology, Columbia University, New York, NY\nDOI: 10.1016/j.jmig.2025.09.096 External LinkAlso available on ScienceDirect External Link\nCategory: Endometriosis\nSubCategory: Other\nTo review the pre, intra, and postoperative considerations for the management of abdominal wall endometriosis.\nCase report.\nTertiary medical center.\n40-year-old G4P0040 with an abdominal wall mass, suspicious for abdominal wall endometriosis, who desired surgical management.\nThe patient underwent an abdominal wall endometriosis excision with omental endometriosis excision. Perioperative considerations include:\nPreoperatively:\n• Obtaining an MRI for surgical planning.\n• Determining the surgical approach, either laparoscopic or abdominal.\n• Consulting General Surgery for disease with larger fascial involvement.\n• Utilizing the rectus to defect ratio.\nIntraoperatively:\n• Understanding key anatomy of the abdominal wall.\n• Employing traction/countertraction and circumferential dissection.\n• Undermining the fascia for a tension-free primary closure.\nPostoperatively:\n• Instructing the patient to follow activity restrictions for 6 weeks.\n• Deferring medical management for isolated abdominal wall endometriosis given the lack of evidence for disease suppression.\nThe patient was discharged home on postoperative day 1 and was healing well by her postoperative visit.\nAbdominal wall endometriosis causes significant symptoms for patients, and complex gynecologists must be well versed in its management. Optimization for its excision by the abdominal approach includes obtaining an MRI for planning excision and closure, understanding the anatomy of the abdominal wall, and undermining the fascia for a tension-free primary closure.\nThis paper is only available as a PDF.\nC.J. Min\nAffiliations\nObstetrics and Gynecology, Columbia University, New York, NY\nS. Guang\nAffiliations\nObstetrics and Gynecology, Columbia University, New York, NY\nC. Arora\nAffiliations\nObstetrics and Gynecology, Columbia University, New York, NY\nThe content on this site is intended for healthcare professionals.\nAll content on this site: Copyright © 2026 Elsevier Inc., its licensors, and contributors.\nAll rights are reserved, including those for text and data mining, AI training, and similar technologies.\nFor all open access content, the relevant licensing terms apply.\nPrivacy Policy Terms and Conditions Accessibility Help & Contact Responsible AI\nGet access\nAAGL members, access to Journal of Minimally Invasive Gynecology is a member benefit. Use your AAGL credentials to access Journal of Minimally Invasive Gynecology articles and features.\n- Existing Subscriber: Log in\n- New Subscriber: Claim access with activation code.\nDon’t already have access? View purchase options\nAcademic & Personal\n24-hour online access.Suitable for academic or non-commercial use only.$31.50Academic accessCorporate R&D Professionals\n24-hour online access.Suitable for commercial use.$41.50Corporate access\n- Full online access to your subscription and archive of back issues\n- Table of Contents alerts\n- Access to all multimedia content, e.g. podcasts, videos, slides","source_license":"CC0","license_restricted":false}