Successful adnexectomy and umbilicoplasty for concomitant umbilical and ovarian endometriosis via a modified abdominal insufflation method

Marie Iwami, Koichi Nagai, Takeru Sonobe, Tamaki Cho, Yuki Ogawara, Etsuko Miyagi
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2023 · vol. 39(1) , pp. 41–46 · doi:10.5180/jsgoe.39.1_41 · W4386761163
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

Researchers describe a modified laparoscopic approach to resect umbilical endometriosis and perform adnexectomy using the umbilicus as an insufflation port before umbilicoplasty.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This single case report describes a 47-year-old woman with cyclical umbilical pain in whom an umbilical mass biopsy diagnosed endometriosis, and who also had concomitant right ovarian endometriosis. The authors resected the clearly demarcated umbilical lesion and used the umbilicus as a laparoscopic insufflation port (with LAP DISC miniⓇ to address air leakage), then performed laparoscopic right adnexectomy after intraperitoneal observation found about one-third of the right ovary tightly adhered to the pelvic wall, with umbilicoplasty performed during the same operation by a plastic surgeon. The main finding is that a modified insufflation approach enabled both intra-abdominal visualization and removal of additional endometriosis lesions alongside treatment of the umbilical lesion, despite technical challenges. This paper is centrally about endometriosis — it reports combined surgical management of umbilical and ovarian endometriosis using modified abdominal insufflation and umbilicoplasty.

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Abstract

We report a case in which umbilical endometriosis was resected and the umbilicus was used as an insufflation port for laparoscopic right adnexectomy before umbilicoplasty.

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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.

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