Endometriosis of Postoperative Scar

A. Plotski
{"title":"Endometriosis of Postoperative Scar","authors":"A. Plotski","doi":"10.5772/INTECHOPEN.88246","DOIUrl":null,"url":null,"abstract":"Endometriosis in a postoperative scar is a secondary process in scars after surgical procedures affecting endometrium: cesarean section, hysterectomy, amniocentesis \netc. Nevertheless scar endometriosis occurs also after general surgery – appendectomy, cholecystectomy, correction of hernias. The cause of surgical scar \nendometriosis is believed to be iatrogenic transplantation of endometrium to the surgical wound. Despite the ectopic location, endometrial tissue is able to respond to \nhormonal effects, thereby causing clinical signs of disease. Endometriosis of postoperative scar is a typical example of extragenital endometriosis. The most common \npresenting symptom of endometrioma in a scar is a palpable mass associated with cyclic pain and swelling during menses. When the patient complains are not cyclical \n(25-45% of patients with scar endometriosis) clinical diagnosis is impaired. The typical sonographic pattern of endometriomas is presence of subcutaneous nodule, \nhypoechoic with hyperechoic strands and irregular margins. Different types of hormonal therapy has been tried with minimal effects. That’s why for endometriosis of \npostoperative scar total surgical excision is considered to be golden standard for both diagnosis and treatment. In order to prevent scar endometriosis some measures \nhave been proposed. But no measures of prevention have proved its efficiency and all these measures were suggested without any evident scientific corroboration.","PeriodicalId":94205,"journal":{"name":"Scars, burns & healing","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2019-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Scars, burns & healing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5772/INTECHOPEN.88246","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

Abstract

Endometriosis in a postoperative scar is a secondary process in scars after surgical procedures affecting endometrium: cesarean section, hysterectomy, amniocentesis etc. Nevertheless scar endometriosis occurs also after general surgery – appendectomy, cholecystectomy, correction of hernias. The cause of surgical scar endometriosis is believed to be iatrogenic transplantation of endometrium to the surgical wound. Despite the ectopic location, endometrial tissue is able to respond to hormonal effects, thereby causing clinical signs of disease. Endometriosis of postoperative scar is a typical example of extragenital endometriosis. The most common presenting symptom of endometrioma in a scar is a palpable mass associated with cyclic pain and swelling during menses. When the patient complains are not cyclical (25-45% of patients with scar endometriosis) clinical diagnosis is impaired. The typical sonographic pattern of endometriomas is presence of subcutaneous nodule, hypoechoic with hyperechoic strands and irregular margins. Different types of hormonal therapy has been tried with minimal effects. That’s why for endometriosis of postoperative scar total surgical excision is considered to be golden standard for both diagnosis and treatment. In order to prevent scar endometriosis some measures have been proposed. But no measures of prevention have proved its efficiency and all these measures were suggested without any evident scientific corroboration.
瘢痕术后子宫内膜异位症
术后瘢痕性子宫内膜异位症是影响子宫内膜的外科手术后瘢痕的继发过程,如剖宫产、子宫切除术、羊膜穿刺术等。然而,疤痕性子宫内膜异位症也发生在一般手术-阑尾切除术,胆囊切除术,疝气矫正术后。手术瘢痕性子宫内膜异位症的原因被认为是医源性子宫内膜移植到手术伤口。尽管位置异位,子宫内膜组织能够对激素的作用作出反应,从而引起疾病的临床症状。术后瘢痕性子宫内膜异位症是子宫外内膜异位症的典型。子宫内膜异位瘤最常见的症状是可触及的肿块,伴有月经期间的周期性疼痛和肿胀。当患者的主诉不是周期性的(占瘢痕性子宫内膜异位症患者的25-45%),临床诊断就会受损。子宫内膜异位瘤的典型声像图表现为皮下结节,低回声伴高回声线,边缘不规则。不同类型的激素疗法已经尝试过,但效果甚微。这就是为什么对于术后瘢痕的子宫内膜异位症,完全手术切除被认为是诊断和治疗的金标准。为了预防瘢痕性子宫内膜异位症,提出了一些措施。但没有任何预防措施证明其有效性,所有这些措施都是在没有明显的科学佐证的情况下提出的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
审稿时长
15 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信