Fascia suturing during cesarean may be linked to the later occurrence of cesarean scar endometrioma

Bernard Nagib, Nagib B, Assaad Kesrouani
Medical hypotheses · 2020 · vol. 142 , pp. 109787 · doi:10.1016/j.mehy.2020.109787 · PMID:32353794 · W3018919842
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This paper investigates the potential association between suturing techniques used on the fascia during cesarean sections and the subsequent development of cesarean scar endometriomas.

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Abstract

The most common type of abdominal wall endometriosis is cesarean scar endometriosis (CSE), defined as the presence of endometrial tissue outside the uterine cavity. Multiple hypotheses can explain the implantation theory. Endometrioma are most commonly located on the fascia-muscles layer and on both side corners of the cesarean-section scar. By reviewing the surgical techniques used in the cesarean section, we hypothesize that the type of suture material, the knot in itself, and the angiogenesis could be factors that influence CSE development.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdominal Wall Endometriosis Endometriosis Cesarean Section Cesarean Section Cicatrix Fascia Fascia Female Humans Pregnancy Sutures Sutures

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.

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