Narbenendometriose nach Sectio: Dienogest versus Exzision

Judith Lorenz
In: Geburtshilfe und Frauenheilkunde · 2023 · vol. 83(06) , pp. 621–622 · doi:10.1055/a-2061-8951 · W4379523070
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This paper investigated the efficacy of dienogest and surgical excision in treating scar endometriosis after Cesarean section.

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This article reviews the etiology of scar endometriosis following cesarean section, noting that lesions arise either from metastatic dissemination of endometrial cells during surgery or through metaplastic transformation of colonic epithelium. It evaluates the comparative efficacy of dienogest therapy versus surgical excision in managing symptomatology and reducing lesion size in this specific patient population. The text highlights the clinical debate regarding which treatment modality offers superior outcomes for women presenting with these rare post-surgical complications. This paper is centrally about endometriosis — specifically the management of deep infiltrating endometriosis manifesting as a scar lesion after cesarean delivery.

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Abstract

Selten treten nach einem Kaiserschnitt Endometrioseherde im Narbengewebe auf. Diese entspringen entweder einer metastatischen Verschleppung von Endometriumzellen im Zuge des Eingriffs oder entstehen einer anderen Theorie zu Folge durch eine metaplastische Umwandlung von Zölomepithel. Wie gut sprechen die Symptomatik bzw. die Läsionsgröße auf Dienogest bzw. eine chirurgische Exzision an?
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Subscribe to RSS Please copy the URL and add it into your RSS Feed Reader. https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000020.xml Geburtshilfe Frauenheilkd 2023; 83(06): 621-622 DOI: 10.1055/a-2061-8951 DOI: 10.1055/a-2061-8951 GebFra Magazin Aktuell referiert Narbenendometriose nach Sectio: Dienogest versus Exzision Authors Selten treten nach einem Kaiserschnitt Endometrioseherde im Narbengewebe auf. Diese entspringen entweder einer metastatischen Verschleppung von Endometriumzellen im Zuge des Eingriffs oder entstehen einer anderen Theorie zu Folge durch eine metaplastische Umwandlung von Zölomepithel. Wie gut sprechen die Symptomatik bzw. die Läsionsgröße auf Dienogest bzw. eine chirurgische Exzision an? Publication History Article published online: 06 June 2023 © 2023. Thieme. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

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