A clinical analysis of 30 cases of abdominal incisional endometriosis after cesarean section

Objective To explore the clinical diagnosis and treatment of abdominal incisional endometriosis after cesarean section. Methods 30 patients who received surgery of abdominal incisional endometriosis from October 2005 to August 2012 were selected.Clinical data of the 30 patients were retrospectively analyzed. Results 4 of 30 patients with abdominal incisional endometriosis had foci involving peritoneum,5 involving muscular layer,and 14 involving protheca of abdominal muscle.Incision of ectopic foci was carried out and the surgical effect was good without any relapse.All patients received the incision of foci only once.All the 30 patients completely recovered with the recovery rate of 100%.Hyperplastic connective tissues via pathological examination showed endometrial glandular structure and interstitial cells.The results accorded with the diagnosis of endometriosis.23 patients received follow-ups after the surgery for 1-3 years,and no relapses were detected. Conclusion Cesarean section is the main iatrogenic factor causing abdominal incisional endometriosis.Treatment strictly following surgical indications of Cesarean section helps reduce the rate of Cesarean section, and surgery is the only effective treatment for endometriosis;standardized surgical procedures are the key to prevent the disease.