Radical Excision of Inguinal Endometriosis

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This study reports on five cases of recurrent inguinal endometriosis treated by complete excision of the extraperitoneal round ligament, which resulted in successful cures with no further recurrence.

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Abstract

BACKGROUND: The diagnosis of inguinal endometriosis can be complex, and patients are often first operated by a general surgeon for a hernia. We present five cases of inguinal endometriosis in which primary surgery resulted in recurrence and a second correct procedure resulted in a cure. CASES: Five patients with inguinal endometriosis, operated between 1996 and 2002, were seen for the recurrence of symptoms. All underwent excision of the extraperitoneal portion of the round ligament and pelvic exploration. In all cases, both pelvic and round ligament endometriosic lesions were confirmed at histology. No complications or recurrence of inguinal endometriosis occurred. CONCLUSION: The complete excision of inguinal endometriosis must also include the extraperitoneal portion of the round ligament.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Hernia, Inguinal Inguinal Canal Inguinal Canal Inguinal Canal Round Ligament of Uterus Round Ligament of Uterus Round Ligament of Uterus Adult Diagnosis, Differential Endometriosis Endometriosis Female Hernia, Inguinal Hernia, Inguinal Humans Recurrence Treatment Outcome

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Cited by (25)

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