Endometriosis of the anterior abdominal wall after delivery. Causes, treatment and prevention

T.A. Glebov, S.N. Buyanova, P.P. Nefedov
In: Russian Bulletin of Obstetrician-Gynecologist · 2025 · vol. 25(4) , pp. 80 · doi:10.17116/rosakush20252504180 · W4413223171
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study identified risk factors and diagnostic methods for anterior abdominal wall endometriosis, finding surgical treatment to be optimal and emphasizing that only adherence to surgical technique, not hormone therapy, reduces recurrence.

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

The paper investigates endometriosis developing in the anterior abdominal wall after childbirth, describing proposed causes in relation to delivery-associated iatrogenic factors, and outlining reported approaches to treatment and prevention. At a high level, it draws on available clinical literature and experience regarding post-delivery and post-surgical scar endometriosis in women, emphasizing diagnostic and management considerations in the abdominal wall. A major caveat is that the document is not presented as a single controlled study but as a synthesis of prior reports, limiting the ability to quantify effectiveness of prevention or treatment strategies. Relevance to endometriosis: it is specifically about anterior abdominal wall endometriosis after delivery, including scar-related cases following obstetric procedures, so it directly aligns with endometriosis in extragenital/pelvic-scar contexts.

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Abstract

Objective. To reduce the risk of recurrence of endometriosis of the anterior abdominal wall after surgical treatment by clarifying the pathogenesis, developing diagnostic and treatment algorithms. Materials and methods. A retro-prospective study was conducted, including 120 patients with endometriosis of the anterior abdominal wall who were treated in the Department of Operative Gynecology with Oncogynecology and Day Hospital of the V.I. Krasnopolsky” Moscow Regional Research Institute of Obstetrics and Gynecology in the period from 2015 to 2023, in addition, 25 patients delivered by caesarean section were additionally examined. Results. Risk factors for the development of endometriosis of the anterior abdominal wall are identified. Diagnosis of endometrioid infiltrates is usually delayed, which is due to the late appearance of complaints and a late visit to the gynecologist. Ultrasound allows us to determine the size, localization and structure of the infiltrate. In the presence of multiple foci of different sizes, especially recurrent ones, magnetic resonance imaging is preferable. Treatment of patients with endometriosis of the anterior abdominal wall should be surgical. Conclusion. Endometriosis of the anterior abdominal wall after abdominal delivery is a delayed complication. However, in patients with certain risk factors, with the use of preventive measures, it is possible to reduce the likelihood of this disease. A thorough diagnosis based on instrumental research methods makes it possible to optimize surgical treatment tactics. Hormone therapy for endometrioid infiltrates of the anterior abdominal wall at the pre- and postoperative stages does not lead to a clinically significant change in the course of the disease, only compliance with the technology of surgical removal of the formations reduces the risk of recurrence of the disease.
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Сайт издательства «Медиа Сфера» содержит материалы, предназначенные исключительно для работников здравоохранения. Закрывая это сообщение, Вы подтверждаете, что являетесь дипломированным медицинским работником или студентом медицинского образовательного учреждения. Результаты поиска: 0 Эндометриоз передней брюшной стенки после родоразрешения. Причины развития, лечение и профилактика Журнал: Российский вестник акушера-гинеколога. 2025;25(4): 80‑85 Прочитано: 906 раз Как цитировать: Литература / References: - Эндометриоз: федеральные клинические рекомендации по ведению больных. ООО «Российское общество акушеров-гинекологов» (РОАГ) Одобрено Научно-практическим Советом Минздрава РФ. М., 2020;32. - Stilley JA, Birt JA, Sharpe-Timms KL. Cellular and molecular basis for endometriosis-associated infertility. Cell Tissue Res. 2012; 349:3:849-862. - Эндометриоз: диагностика, лечение и реабилитация. Клинические рекомендации по ведению больных. Под ред. Л.В. Адамян. 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