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Abdominal scar endometriosis in 10 cases of
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Abdominal scar endometriosis in 10 cases of
[Keywords:] abdominal incision; uterus; endometriosis
Abdominal wall scar endometriosis is one of long-term complications after surgery Obstetrics and Gynecology, the rate was 0.03% to 1.07% [1]. With the rise in cesarean section rate, its incidence has also increased. Because clinical symptoms, diagnosis and treatment of pelvic endometriosis is different, now 4 years in our hospital treatment of 10 cases of abdominal wall scar endometriosis clinical data are summarized below.
1 Clinical data
1.1 General information were treated in our hospital in 2005-2008 abdominal scar endometriosis in 10 cases, aged 23 to 38 years, with an average age of 30 .2 cases of pregnancy by cesarean section in fetal surgery, 7 cases were full term by cesarean section production operation, 1 case of menstruation after tubal sterilization. onset after 3 months to 4 years, an average of 35 months. postpartum incidence of breast-feeding more than 6 months were more than 1 year after surgery, breast-feeding at 6 months Within hours of onset were less than after l years, incidence of sterilization surgery within 6 months after surgery. lesion 2 ~ 4.5cm. All cases were surgical resection, postoperative pathological examination confirmed. patients were followed up for 1 to 2 years .
1.2 Clinical features of 10 patients had different levels with the menstrual cycle accompanied by abdominal incision scar pain, and pain, palpable mass, menstruation can be increased by the then smaller, mass touch of quality and tough, solid, and unclear boundaries surrounding tissue.
1.3 The effect of treatment and 10 patients underwent surgical operation. 3 Left and Right, mass 2cm surgery under local anesthesia, 7 mass 2cm or more continuous epidural anesthesia in surgery. Intraoperative see lesions confined to the subcutaneous tissue in 2 cases, 5 cases in the rectus sheath involving the part of the abdomen before rectus m
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