Diagnosis and Treatment of Incisional Endometriosis after Cesarean Section:An Analysis of 30 Cases

Objective To investigate the clinical diagnosis,treatment and prevention of incisional abdominal wall endometriosis after cesarean section.Methods Clinical data of 30 patients with incisional abdominal wall endometriosis after cesarean section were analyzed retrospectively.Results The incisional abdominal wall endometriosis occurred 6-24 months after cesarean section in all the 30 patients.The main clinical features included incision scar and painful nodules or masses in surrounding tissues,and the characteristics were associated with menstrual cycle.All patients were treated with mifepristone for 3-6months after local lesion resection.No recurrence occurred during the 1-year follow-up.Conclusion Cesarean section is the important iatrogenic factor for endometriosis.The decreased cesarean section rate and intraoperative incision protection are keys to the prevention of incisional endometriosis after cesarean section,and surgical resection is the only effective method for the treatment of incisional endometriosis after cesarean section.Postoperative drug adjuvant therapy can prevent the recurrence of incisional endometriosis.