ENDOMETRIOSIS OF POSTOPERATIVE CICATRIX

В. В. Флоренсов, �������, ��������, Andrey Petukhov, ����������, Viktoriya Rudaya
In: Byulleten-Vostochno-Sibirskogo-nauchnogo-tsentra-Sibirskogo-otdeleniya-Rossiyskoy-Akademii-meditsinskih-nauk · 2016 · vol. 1(2) , pp. 20–24 · doi:10.12737/20609 · W2565200638
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study reports on the clinical and diagnostic peculiarities of scar endometriosis in four patients, highlighting challenges in early diagnosis and recommending risk group formation, with all patients recovering after surgical treatment and hormone therapy.

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The paper describes endometriosis occurring in a postoperative scar (эндометриоз послеоперационного рубца) and is presented by Petukhov, Florensov, and Rudaya in Acta Biomedica Scientifica (2016). It does not provide a clear, extractable study design, population, or methods in the provided text, and the content shown is limited to author/title information, a bibliography, and citation details. Because the full article content is not included here, no specific findings, patient characteristics, or limitations explicitly stated by the authors can be summarized from this excerpt. This paper is centrally about endometriosis — specifically endometriosis of a postoperative cicatrix, which is directly related to endometriosis.

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Abstract

Rare occurrence, absence of specific clinical manifestations, difficult diagnostics on early stages, and insufficient experience in treatment of endometriosis genitalis externa deserve special attention. The study summarizes the results of treatment of scar endometriosis in four patients (three of reproductive and one of late reproductive age) describing clinical and diagnostic peculiarities of all cases. We revealed no specific laboratory diagnostic criteria of the pathology. The article is illustrated with photos of ultrasound findings, surgical field, a fragment of scar tissue removed during the surgery, and photomicrographies of surgical specimen histological sections. All presented pictures are described with indication of pathological process markers. We have stated the discrepancy between the sizes of endometrioid infiltrations in anterior abdominal wall revealed with echosonography and the sizes of those found during the surgery. During the surgery, we discovered that parietal peritoneum was not involved in pathological process. Basing on our observations, we have made recommendations on formation of scar endometriosis risk groups. In all four cases, surgical treatment with succeeding course of hormone therapy resulted in recovery of the patients.
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Эндометриоз послеоперационного рубца https://doi.org/10.12737/20609 Аннотация Об авторах А. А. ПетуховРоссия В. В. Флоренсов Россия В. В. Рудая Россия Список литературы 1. Адамян Л.В., Кулаков В.И., Андреева Е.Н. Эндометриозы: Руководство для врачей; 2-е изд-е. - М.: Медицина, 2006. - 416 с 2. Баскаков В.П. Клиника и лечение эндометриоза. - М.: Медицина, 1990. - 240 с 3. Гинекология: национальное руководство / Под ред. В.И. Кулакова, И.Б. Манухина, Г.М. Савельевой. - М.: ГЭОТАР-Медиа, 2011. - С. 799-802 4. Дамиров М.М. Генитальный эндометриоз -болезнь активных и деловых женщин. - М.: Бином-Пресс, 2010. - 192 с 5. Ищенко А.И., Кудрина Е.А. Эндометриоз: диагностика и лечение. - М.: ГЭОТАР-Медиа, 2002. - 104 с 6. Клинические рекомендации. Акушерство и гинекология; 4-е изд., перераб. и доп / Под ред. B.Н. Серова, Г.Т. Сухих. - М.: ГЭОТАР-Медиа, 2014. - C. 731-746 7. Линде В.А., Татарова Н.А. Эндометриозы. Патогенез, клиническая картина, диагностика и лечение. -М.: ГЭОТАР-Медиа, 2010. - 192 с 8. Манухин И.Б., Тумилович Л.Г., Геворкян М.А. Клинические лекции по гинекологической эндокринологии. - М.: ГЭОТАР-Медиа, 2006. - 328 с 9. Марченко Л.А., Ильина Л.М. Современный взгляд на отдельные аспекты патогенеза эндометриоза (обзор литературы) // Проблемы репродукции. - 2011. - № 1. - С. 60-66 10. Мельников М.В., Чупрынин В.Д., Асколь-ская С.В., Хабас Г.Н., Матроницкий Р.Б., Вередчен-ко А.В., Бурыкина П.Н., Попов Ю.В., Хачатрян А.М., Хачатрян А.М., Хилькевич Е.Г. Диагностика и тактика хирургического лечения инфильтративного эндометриоза у пациенток репродуктивного возраста // Акушерство и гинекология. - 2012. - № 7. - С. 43-49 11. Шерстова И.Г., Ипастова И.Д. Эндометриоз. Новый консенсус - новые решения. Глобальный консенсус по ведению больных эндометриозом // Информационный бюллетень Status presens. - 2014. - С. 16 12. Шмидт А.А., Берлев И.В., Абашин В.Г., Рябинин Г.Б. Опыт лечения сочетанных форм эндометриозной болезни // Вестник Российской Военно-медицинской академии. - 2007. - № 2 (18). - С. 83-85 13. Ярмолинская М.И., Тарасова М.А., Сельков С.А., Баранов В.С., Рулев В.В. Наружный генитальный эндометриоз: пособие для врачей. - СПб.: Н-Л, 2010. - 86 с 14. Douglass C., Rotimi O. (2004). Extragenital endometriosis: a clinicopathological review of a Glasgow hospital experience with case illustrations. J. Obstet. Gynec., (24), 804-808. 15. Moore C., Kohler G., Muller A. (1999). The treatment of endometriosis with dienogest. Drugs Today, 35 (C), 41-52. 16. Wu M.H., Lu C.W., Chuang P.C., Tsai S.J. (2010). Prostaglandin E2: the master of endometriosis? Exp. Biol. Med., (235), 668-677. Рецензия Для цитирования: Петухов А.А., Флоренсов В.В., Рудая В.В. Эндометриоз послеоперационного рубца. Acta Biomedica Scientifica. 2016;1(2):20-24. https://doi.org/10.12737/20609 For citation: Petukhov A.A., Florensov V.V., Rudaya V.V. Endometriosis of postoperative cicatrix. Acta Biomedica Scientifica. 2016;1(2):20-24. (In Russ.) https://doi.org/10.12737/20609 JATS XML

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