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
article OA: closed CC0
View on OpenAlex View at publisher
⚙ 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.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

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.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

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.

My notes (saved in your browser only)

Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (20)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
unpaywall
last seen: 2026-06-02T02:00:03.124865+00:00
License: CC0 · commercial use OK