Surgical Scar Endometriosis: An Emerging Enigma
Introduction Surgical scar endometriosis is a subtype of extra-pelvic endometriosis that is characterized by the formation of endometrial tissue near the incision site in patients who have previously undergone surgery. In recent times, with the increasing trend in Caesarean sections, the incidence o...
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ftpubmed:oai:pubmedcentral.nih.gov:10024799 2023-05-15T18:15:16+02:00 Surgical Scar Endometriosis: An Emerging Enigma Durairaj, Anitha Sivamani, Harini Panneerselvam, Mahalakshmi 2023-02-16 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10024799/ http://www.ncbi.nlm.nih.gov/pubmed/36945281 https://doi.org/10.7759/cureus.35089 en eng Cureus http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10024799/ http://www.ncbi.nlm.nih.gov/pubmed/36945281 http://dx.doi.org/10.7759/cureus.35089 Copyright © 2023, Durairaj et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Cureus Medical Education Text 2023 ftpubmed https://doi.org/10.7759/cureus.35089 2023-03-26T01:54:30Z Introduction Surgical scar endometriosis is a subtype of extra-pelvic endometriosis that is characterized by the formation of endometrial tissue near the incision site in patients who have previously undergone surgery. In recent times, with the increasing trend in Caesarean sections, the incidence of surgical scar endometriosis has also emerged. This study aims to describe the clinical characteristics and management of surgical scar endometriosis. Methodology We conducted this cross-sectional, observational study over eight years (2015-2022) in a tertiary care centre in Madurai district, Tamil Nadu, India. We conducted this study after acquiring an ethical certificate from the institutional ethics committee (IEC No. VMCIEC/22/2018). In this study, we sampled all women (n = 32) with a pathological diagnosis of scar endometriosis during the study period from hospital records (universal sampling). We searched the data for both general characteristics and lesion characteristics of the patients. The general characteristics include age, body mass index (BMI), parity, mode of delivery, symptoms, and imaging by ultrasound. We have recorded the lesion characteristics of the patient, including location and size of scar endometriosis, layers involved in scar endometriosis, and surgical technique from surgical notes written in the case sheet. The minimum sample size required for this study was 31 study subjects. We entered the data into Excel (Microsoft, Redmond, WA, USA) and analyzed it in SPSS version 21 (IBM Corp., Armonk, NY, USA). We expressed the quantitative variables in terms of mean and standard deviation and the qualitative variables in terms of frequency and percentage. Results The mean age of the study participants was 34 years (range 23-55 years). In our study, 29 patients (90.6%) were multi-para, and only three (9.4%) were nullipara. Among 29 parous women, the majority (25, or 77.7%) had delivered by Caesarean section, while only four (12.5%) delivered by normal vaginal delivery. The surgical procedures ... Text SCAR PubMed Central (PMC) Cureus |
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Medical Education Durairaj, Anitha Sivamani, Harini Panneerselvam, Mahalakshmi Surgical Scar Endometriosis: An Emerging Enigma |
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Medical Education |
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Introduction Surgical scar endometriosis is a subtype of extra-pelvic endometriosis that is characterized by the formation of endometrial tissue near the incision site in patients who have previously undergone surgery. In recent times, with the increasing trend in Caesarean sections, the incidence of surgical scar endometriosis has also emerged. This study aims to describe the clinical characteristics and management of surgical scar endometriosis. Methodology We conducted this cross-sectional, observational study over eight years (2015-2022) in a tertiary care centre in Madurai district, Tamil Nadu, India. We conducted this study after acquiring an ethical certificate from the institutional ethics committee (IEC No. VMCIEC/22/2018). In this study, we sampled all women (n = 32) with a pathological diagnosis of scar endometriosis during the study period from hospital records (universal sampling). We searched the data for both general characteristics and lesion characteristics of the patients. The general characteristics include age, body mass index (BMI), parity, mode of delivery, symptoms, and imaging by ultrasound. We have recorded the lesion characteristics of the patient, including location and size of scar endometriosis, layers involved in scar endometriosis, and surgical technique from surgical notes written in the case sheet. The minimum sample size required for this study was 31 study subjects. We entered the data into Excel (Microsoft, Redmond, WA, USA) and analyzed it in SPSS version 21 (IBM Corp., Armonk, NY, USA). We expressed the quantitative variables in terms of mean and standard deviation and the qualitative variables in terms of frequency and percentage. Results The mean age of the study participants was 34 years (range 23-55 years). In our study, 29 patients (90.6%) were multi-para, and only three (9.4%) were nullipara. Among 29 parous women, the majority (25, or 77.7%) had delivered by Caesarean section, while only four (12.5%) delivered by normal vaginal delivery. The surgical procedures ... |
format |
Text |
author |
Durairaj, Anitha Sivamani, Harini Panneerselvam, Mahalakshmi |
author_facet |
Durairaj, Anitha Sivamani, Harini Panneerselvam, Mahalakshmi |
author_sort |
Durairaj, Anitha |
title |
Surgical Scar Endometriosis: An Emerging Enigma |
title_short |
Surgical Scar Endometriosis: An Emerging Enigma |
title_full |
Surgical Scar Endometriosis: An Emerging Enigma |
title_fullStr |
Surgical Scar Endometriosis: An Emerging Enigma |
title_full_unstemmed |
Surgical Scar Endometriosis: An Emerging Enigma |
title_sort |
surgical scar endometriosis: an emerging enigma |
publisher |
Cureus |
publishDate |
2023 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10024799/ http://www.ncbi.nlm.nih.gov/pubmed/36945281 https://doi.org/10.7759/cureus.35089 |
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SCAR |
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SCAR |
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Cureus |
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10024799/ http://www.ncbi.nlm.nih.gov/pubmed/36945281 http://dx.doi.org/10.7759/cureus.35089 |
op_rights |
Copyright © 2023, Durairaj et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
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https://doi.org/10.7759/cureus.35089 |
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Cureus |
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