Infiltrative scar endometriosis after delivery operations

A.I. Ishchenko, А.А. Ищенко, D.V. Bryunin, E.G. Malyuta, I.D. Khokhlova, T.A. Dzhibladze, O.Yu. Gorbenko, I.V. Gadaeva, A. Asambaeva, D.V. Baburin
In: Voprosy ginekologii, akušerstva i perinatologii · 2023 · vol. 22(2) , pp. 138–141 · doi:10.20953/1726-1678-2023-2-138-141 · W4385832133
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This paper reports two cases of infiltrative scar endometriosis following cesarean delivery and episiotomy, highlighting surgical treatment challenges and the use of mesh implants for abdominal wall reconstruction.

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This paper presents two clinical cases of infiltrative scar endometriosis occurring after cesarean delivery and episiotomy during spontaneous vaginal birth. The authors highlight that the infiltrative nature of these lesions creates significant surgical challenges due to extensive tissue involvement and complicates reconstruction efforts. To address defects in the anterior abdominal wall and mitigate the risk of post-operative hernia, the study describes the use of mesh implants for tissue replacement and repair. This paper is centrally about endometriosis — specifically focusing on the diagnosis and surgical management of infiltrative scar endometriosis following obstetric procedures.

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Abstract

This article presents two clinical cases of infiltrative scar endometriosis after cesarean delivery and episiotomy at spontaneous vaginal delivery. The infiltrative form of post-operative scar endometriosis is an indication for surgical treatment, presenting a complicated surgical challenge due to the extent of infiltration and involvement of the surrounding tissues. The restoration of the infiltration area also poses certain difficulties. For this purpose, mesh implants are used to help replace and reconstruct the tissues of the anterior abdominal wall and therefore reduce the risk of post-operative hernia formation. Key words: infiltrative scar endometriosis, diagnosis, surgical treatment, mesh implant
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Infiltrative scar endometriosis after delivery operations Anatoliy I. Ishchenko / Anton A. Ishchenko / Dmitriy V. Bryunin / Elena G. Malyuta / Irina D. Khokhlova / Thea A. Dzhibladze / Oksana Yu. Gorbenko / Irina V. Gadaeva / Aylar Asambaeva / Dmitry V. Baburin / This article presents two clinical cases of infiltrative scar endometriosis after cesarean delivery and episiotomy at spontaneous vaginal delivery. The infiltrative form of post-operative scar endometriosis is an indication for surgical treatment, presenting a complicated surgical challenge due to the extent of infiltration and involvement of the surrounding tissues. The restoration of the infiltration area also poses certain difficulties. For this purpose, mesh implants are used to help replace and reconstruct the tissues of the anterior abdominal wall and therefore reduce the risk of post-operative hernia formation. Key words: infiltrative scar endometriosis, diagnosis, surgical treatment, mesh implant For citation: Ishchenko A.I., Ishchenko A.A., Bryunin D.V., Malyuta E.G., Khokhlova I.D., Dzhibladze T.A., Gorbenko O.Yu., Gadaeva I.V., Asambaeva A., Baburin D.V. Infiltrative scar endometriosis after delivery operations. Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2023; 22(2): 138–141. (In Russian). DOI: 10.20953/1726-1678-2023-2-138-141

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endometriosis

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