{"paper_id":"82eb23f3-8770-4384-bd6c-cb23d218bbed","body_text":"Abstract\nStudy Objective\nTo excise primary umbilical endometriosis using local anesthesia, thereby reducing demand for operating room resources during the COVID-19 pandemic.\nDesign\nCase study of two cases of primary umbilical endometriosis, excised under local anesthesia.\nSetting\nOutpatient clinic with procedure room.\nPatients or Participants\nTwo patients referred to gynecology for isolated umbilical endometriosis.\nInterventions\nExcision of primary umbilical endometriosis in the outpatient clinic under local anesthesia.\nMeasurements and Main Results\nPatients were assessed for adequate excision immediately at the end of the procedure and one was re-assessed at two months post-procedure.\nConclusion\nExcision of primary umbilical endometriosis can be adequately performed in the out-patient setting under local anesthesia, further reducing demand for operative time during the COVID-19 pandemic.","source_license":"CC0","license_restricted":false}