Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases

Horton JD, John D Horton, Kent J Dezee, Dezee KJ, Ahnfeldt EP, Eric Ahnfeldt, Eric P Ahnfeldt, Michel Wagner
American journal of surgery · 2008 · vol. 196(2) , pp. 207–212 · doi:10.1016/j.amjsurg.2007.07.035 · PMID:18513698 · W1995073623
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This paper reviews 445 cases of abdominal wall endometriosis from a surgeon's perspective, discussing surgical management and outcomes.

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Abstract

BackgroundAbdominal wall endometriosis (AWE) is defined as endometrial tissue superficial to the peritoneum. AWE often is misdiagnosed and referred to surgeons for treatment. We performed a systematic review of published cohorts to quantify demographics, symptoms, and outcomes of patients having AWE.MethodsAn English language PubMed search from January 1951 to August of 2006 was conducted using several search terms for endometrioma.ConclusionsTwenty-nine articles describing 455 patients were identified and met inclusion criteria. The pooled mean age was 31.4 years. Ninety-six percent presented with a mass, 87% presented with pain, and 57% presented with cyclic symptoms. AWE was associated with a caesarian scar or hysterectomy in 57% and 11% of cases, respectively. The interval from index surgery to presentation was 3.6 years. Recurrence after resection was 4.3%. The most common presentation of AWE is the development of a painful mass after uterine surgery. Surgical treatment appears to result in a cure more than 95% of the time.

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Condition tags

endometriosis

MeSH descriptors

Abdominal Wall Endometriosis Abdominal Pain Abdominal Pain Abdominal Wall Cesarean Section Cicatrix Cicatrix Endometriosis Female Humans Hysterectomy Recurrence

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.

References (53)

Cited by (50)

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License: CC0 · commercial use OK