Surgical Treatment of Scar Endometriosis Following Cesarean Section, a Series of 12 Cases

Mustafa Gazi Uçar, Mustafa Uçar, Fatih Şanlıkan, Ahmet Göçmen
The Indian journal of surgery · 2013 · vol. 77(S2) , pp. 682–686 · doi:10.1007/s12262-013-0978-1 · PMID:26730088 · W2048416589
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This case series evaluated 12 patients with cesarean scar endometriosis treated with wide surgical excision, finding complete recovery and no recurrence.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a case series of 12 patients with cesarean scar endometriosis, evaluating demographic features, symptoms, clinical and operative findings, and surgical outcomes. All patients underwent surgical wide en bloc excision with surrounding clear margins; cyclical pain was present in seven patients, noncyclical pain in three, and menstrually-related nodule enlargement in four. The authors report complete recovery with no recurrence observed and describe lesion sizes ranging from 2 to 8 cm, with a mean operation time of 26 minutes. A stated limitation is that expanding evidence in rarely observed diseases is difficult to achieve with larger series, and the authors emphasize the need to avoid iatrogenic transplantation and manipulation during surgery, relating the work directly to endometriosis by focusing on cesarean scar endometriosis treatment outcomes and surgical considerations. This paper is centrally about endometriosis — it specifically addresses surgical management of cesarean scar endometriosis.

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Abstract

It is difficult to conduct studies with larger series in rarely observed diseases. We report our experience in managing cesarean scar endometriosis (CSE) and emphasize the diagnosis and treatment options. The objective of our study is to review the clinical characteristics of CSE and to evaluate our surgical outcomes. We have collected and documented a case series of 12 patients who underwent surgical wide en bloc excision with surrounding clear margins for CSE. Patients’ demographic features, symptoms, and clinical and operative findings were evaluated. The mean age was 34.6 years. Cyclical pain was documented in seven patients, while three patients presented with noncyclical pain. Menstrually-related enlargement of the nodule was observed in four patients, and only one patient had a complaint of dark brown leakage. The mean operation time was 26 min. The endometriotic lesions ranged from a diameter of 2 to 8 cm in size. Patients recovered completely, and no recurrence was observed. To prevent iatrogenic transplantation, additional attention is needed during surgery that exposes endometrial tissue. Complete wide excision of CSE is both diagnostic and therapeutic. To avoid unnecessary referrals, awareness of its typical clinical manifestations remains the mainstay for intervention. The most important issues to be considered during surgery is nonspreading endometriosis while manipulation. Similar content being viewed by others

References

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