8969 Excision of Primary Umbilical Endometriosis Under Local Anesthesia

Shira Gold, Marlene C. Jacobson, Sara Hojabri, Mara Sobel
In: Journal of Minimally Invasive Gynecology · 2022 · vol. 29(11) , pp. S159 · doi:10.1016/j.jmig.2022.09.519 · W4309865507
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This case study demonstrates that primary umbilical endometriosis can be successfully excised in an outpatient setting under local anesthesia, thereby reducing the demand for operating room resources.

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This case study evaluated the feasibility of excising primary umbilical endometriosis in an outpatient setting using local anesthesia to conserve operating room resources. The authors presented two patients who underwent successful surgical removal of isolated umbilical lesions with immediate assessment for adequate excision and one patient re-evaluated at two months post-procedure. The results indicated that the procedure was adequately performed without complications, demonstrating its viability as a resource-saving alternative during periods of high healthcare demand such as the pandemic. This paper is centrally about endometriosis — specifically the surgical management of primary umbilical endometriosis via local anesthesia.

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Abstract

Study Objective To excise primary umbilical endometriosis using local anesthesia, thereby reducing demand for operating room resources during the COVID-19 pandemic. Design Case study of two cases of primary umbilical endometriosis, excised under local anesthesia. Setting Outpatient clinic with procedure room. Patients or Participants Two patients referred to gynecology for isolated umbilical endometriosis. Interventions Excision of primary umbilical endometriosis in the outpatient clinic under local anesthesia. Measurements and Main Results Patients were assessed for adequate excision immediately at the end of the procedure and one was re-assessed at two months post-procedure.

Conclusion

Excision of primary umbilical endometriosis can be adequately performed in the out-patient setting under local anesthesia, further reducing demand for operative time during the COVID-19 pandemic.

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endometriosis

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