Clinical analysis on 86 cases of iatrogenic endometriosis

Objective:To explore the reasonably diagnosis and therapeutics of iatrogenic endometriosis,reduce the incidence and recurrence rate.Methods:86 cases of iatrogenic endometriosis were analyzed retrospectively.Results:The 83 cases in all 86 cases of endometriosis were treated with surgery.56 cases were induced by abdomen scar,42 cases were below epithelium tissue,and 7 cases invaded former theca of ventro-rectus,5 cases invaded ventro-rectus,2 cases invaded peritoneum,3 cases had many nodes induced by operative scars;2 cases with local anaesthesia were all recrudesce,3 cases of endometriosis in perineal incision and 3 cases of endometriosis in vaginal wall were all cured with surgery and drugs.The other 2 cases were only treated with drugs end-of-dose failure.Conclusion:Surgery is the best method to iatrogenic endometriosis outside pelvic cavity.Epidural or caudal anaesthesia should be applied in the surgery.Simple drug treatment is always ineffective.The combination of surgery with drugs can prevent recurrence effectively to the cases which surgery can not completely remove lesions.Strict rules to improve surgical techniques is the the best way to prevention of iatrogenic endometriosis.