Moazeni-Bistgani Mohammad
Department of Surgery, Faculty of Medicine, Shahr-e-kord University of Medical Sciences, Shahr-e-kord, Iran.
J Family Reprod Health. 2013 Sep;7(3):105-8.
To consider incisional endometrioma (IE) as a differential diagnosis of abdominal disorders and to recommend different treatments as preventive measures. Incisional endometrioma (IE), as a rare condition, usually develops in surgical scar of cesarean section or hysterectomy.
We performed a retrospective review of 12 cases at Department of Surgery, Shahrekord University of medical sciences, Shahrekord from August 2010 to August 2012. The participants were diagnosed with IE using their pathology specimens.
The age ranges were from 23 to 44 years (mean age 32.75 years). A total of 12 patients had previous cesarean sections through a Pfannenstiel incision, which the wound was managed with regular irrigation, but peritoneum was not repaired. The main symptom was an abdominal wall mass about the previous caesarean section surgical scars, associated with cyclic pain. The mean duration of symptoms was 6 to 24 months (mean duration 6.66 months). There was 100% recovery after surgical treatment without any relapse of symptoms during follow-up till now.
We recommend irrigation of the wound with high-jet saline solution before wound closure and repair of peritoneum at the time of cesarean section as a preventive measure.
将切口子宫内膜异位症（IE）视为腹部疾病的鉴别诊断，并推荐不同治疗方法作为预防措施。切口子宫内膜异位症（IE）是一种罕见病症，通常发生于剖宫产或子宫切除术后的手术瘢痕处。
我们对设拉子医科大学设拉子分校外科2010年8月至2012年8月期间的12例病例进行了回顾性研究。通过病理标本对参与者进行IE诊断。
年龄范围为23至44岁（平均年龄32.75岁）。共有12例患者曾通过耻骨上横切口进行剖宫产，伤口采用常规冲洗处理，但未修复腹膜。主要症状是剖宫产手术瘢痕处出现腹壁肿块，并伴有周期性疼痛。症状的平均持续时间为6至24个月（平均持续时间6.66个月）。手术治疗后100%康复，截至目前随访期间症状无任何复发。
我们建议剖宫产时在关闭伤口前用高流量生理盐水冲洗伤口并修复腹膜，作为预防措施。
