The effectiveness of surgical and conservative treatment of patients with endometriosis of the uterine scar after cesarean section

A. A. Grigoryants, V. V. Avrutskaya, И. И. Крукиер, D.V. Aksenenko
In: Medical alphabet · 2024 · pp. 28–32 · doi:10.33667/2078-5631-2024-19-28-32 · W4403993120
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Surgical treatment proved highly effective for patients with incompetent uterine scars and endometriosis after cesarean section who desire future pregnancies, while conservative treatment was effective for those not seeking further pregnancies.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This retrospective study analyzed 64 medical records from 2021–2023 at a clinical base of Stavropol State Medical University, evaluating outcomes in patients with an incompetent uterine scar and endometriosis within the cesarean-section scar. The authors report that surgical treatment was highly effective among patients planning subsequent pregnancies, while conservative treatment was also effective among those not planning further pregnancies. A key limitation is the retrospective design and the lack of detailed comparative outcome metrics or explicit stated limitations beyond its retrospective medical-record approach. This paper is centrally about endometriosis — specifically endometriosis occurring in a uterine scar after cesarean section, with treatment effectiveness in relation to uterine scar incompetence.

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Abstract

Target. To analyze the effectiveness of surgical and conservative treatment of patients with an incompetent uterine scar and endometriosis in the scar after cesarean section. Materials and methods of research. A retrospective analysis of 64 medical records of patients with a uterine scar and endometriosis in the scar for the period from 2021 to 2023 was carried out at the medical center, which is the clinical base of the Department of Obstetrics and Gynecology No. 2 of the Stavropol State Medical University. Results. The analysis showed the high effectiveness of surgical treatment of patients interested in subsequent pregnancies with an incompetent uterine scar and endometriosis in the scar. Conservative treatment given to patients not interested in subsequent pregnancies with an incompetent uterine scar and endometriosis in the scar has also demonstrated its effectiveness.
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Эффективность хирургического и консервативного лечения пациенток с эндометриозом рубца на матке после кесарева сечения https://doi.org/10.33667/2078-5631-2024-19-28-32 Аннотация Цель. Проанализировать эффективность хирургического и консервативного лечения пациенток с несостоятельным рубцом на матке и эндометриозом в рубце после кесарева сечения. Материалы и методы исследования. Проведен ретроспективный анализ 64 медицинских карт пациенток с рубцом на матке и эндометриозом в рубце за период с 2021 по 2023 год в медицинском центре, являющемся клинической базой кафедры акушерства и гинекологии № 2 Ставропольского государственного медицинского университета. Результаты. Проведенный анализ показал высокую эффективность хирургического лечения заинтересованных в последующих беременностях пациенток с несостоятельным рубцом на матке и эндометриозом в рубце. Консервативное лечение, проводимое пациенткам, не заинтересованным в последующих беременностях с несостоятельным рубцом на матке и эндометриозом в рубце, также продемонстрировало свою эффективность. Об авторах А. А. ГригорьянцРоссия Григорьянц Армен Александрович, к.м.н., ассистент кафедры акушерства и гинекологии № 2 Ставрополь В. В. Авруцкая Россия Авруцкая Валерия Викторовна, д.м.н., доцент, проф. кафедры акушерства и гинекологии № 2 Ростов-на-Дону И. И. Крукиер Россия Крукиер Ирина Ивановна, д.б.н., ведущий научный сотрудник акушерско-гинекологического отдела НИИАП Ростов-на-Дону Д. В. Аксененко Россия Аксененко Денис Викторович, к.м.н., зав. кафедрой акушерства и гинекологии № 2 Ставрополь Список литературы 1. Tsenov D, Maĭnkhard K. Endometrioza v operative tsikatriks ot tsezarovo sechenie [Endometriosis in the surgical scar from cesarean section]. Akush Ginekol (Sofiia). 2017; 39 (1): 50–1. Bulgarian. PMID:10826341. 2. Gerasimov A. M., Malyshkina A. I., Kuligina M. V., Krasilnikova A. K., Polumiskov D. M., Abdullaeva L. Kh., Fadeeva E. V., Dvoinova I. Yu. Frequency of occurrence and structure of external genital endometriosis in hospitalized patients. Gynecology. 2021; 23(2):184–189. https://doi.org/10.26442/20795696.2021.2.200783 3. Gonzalez RH, Singh MS, Hamza SA. Cutaneous еndometriosis: A case report and review of the literature. Am. J. Case Rep. 2021 Sep21; 22: e932493. https://doi.org/10.12659/AJCR.932493. PMID:34547012; PMCID:PMC 8476184. 4. Galimov O. V., Ziangirov R. A., Alimov V. A., Safin I. N., Khanov V. O., Kostina YU.V., Lapteva K. V. Endometrioz posleoperatsionnogo rubtsa. Mediko-farmatsevticheskiy zhurnal Pul’s. 2019; 21 (9): 56–60. http://dx.doi.org/10.26787/nydha‑2686‑6838‑2019‑21‑9‑56‑60. 5. Buyanova S. N., Glebov T. A., Babunashvili Ye.L., Gukasyan S. A., Yudina N. V. Endometrioz peredney bryushnoy stenki, promezhnosti i vlagalishcha. Rossiiskii Vestnik Akushera-Ginekologa. 2022; 22 (5): 43–48. DOI: 10.17116/rosakush20222205143. 6. Machairiotis N, Stylianaki A, Dryllis G, Zarogoulidis P, Kouroutou P, Tsiamis N, Katsikogiannis N, Sarika E, Courcoutsakis N, Tsiouda T, Gschwendtner A, Zarogoulidis K, Sakkas L, Baliaka A, Machairiotis C. Extrapelvic endometriosis: a rare entity or an under diagnosed condition? Diagnostic Pathology. 2013; 8: 194. https://doi.org/10.1186/1746‑1596‑8‑194. 7. Carsote M, Terzea DC, Valea A, Gheorghisan-Galateanu AA. Abdominal wall endometriosis (a narrative review). Int J. Med. Sci. 2020 Feb10; 17 (4): 536–542. https://doi.org/10.7150/ijms.38679. PMID: 32174784; PMCID: MC 7053307. 8. The ultrasound of subcutaneous extrapelvic endometriosis. Journal of Ultrasonography. 2020; 20 (82): 176–180. https://doi.org/10.15557/jou.2020.0029 9. Chui MH, Wang TL, Shih IM. Endometriosis: benign, malignant, or something in between? Oncotarget. 2017; 8 (45): 78263–78264. https://doi.org/10.18632/oncotarget.21051 10. Ulandi T, Cohen A. Emerging manifestations of cesarean scar defect in reproductive-aged women. Journal of Minimally Invasive Gynecology. 2017; 23 (6): 893–902. https://doi.org/10.1016/j.jmig.2016.06.020 Рецензия Для цитирования: Григорьянц А.А., Авруцкая В.В., Крукиер И.И., Аксененко Д.В. Эффективность хирургического и консервативного лечения пациенток с эндометриозом рубца на матке после кесарева сечения. Медицинский алфавит. 2024;(19):28-32. https://doi.org/10.33667/2078-5631-2024-19-28-32 For citation: Grigoryants A.A., Avrutskaya V.V., Krukier I.I., Aksenenko D.V. The effectiveness of surgical and conservative treatment of patients with endometriosis of the uterine scar after cesarean section. Medical alphabet. 2024;(19):28-32. (In Russ.) https://doi.org/10.33667/2078-5631-2024-19-28-32 JATS XML

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