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Application of Mini-abdominoplasty after Conservative Excision of Extensive Cesarean Scar Endometriosis

  • Lee, Eui Tai (Department of Plastic and Reconstructive Surgery, Chungbuk National University College of Medicine) ;
  • Park, Hyun Min (Department of Plastic and Reconstructive Surgery, Chungbuk National University College of Medicine) ;
  • Lee, Dong Geun (Department of Plastic and Reconstructive Surgery, Chungbuk National University College of Medicine) ;
  • Shin, Kyung Jin (Department of Plastic and Reconstructive Surgery, Chungbuk National University College of Medicine) ;
  • Kim, Hak Soon (Department of Obstetrics and Gynecology, Chungbuk National University College of Medicine) ;
  • Sung, Ro Hyun (Department of Pathology, Chungbuk National University College of Medicine) ;
  • Ryu, Dong Hee (Department of Surgery, Chungbuk National University College of Medicine)
  • 투고 : 2012.05.14
  • 심사 : 2012.08.02
  • 발행 : 2012.09.15

초록

Endometriosis is defined as the presence of functioning endometrial tissue outside the uterine cavity, and the standard treatment is extensive surgical excision. Cesarean scar endometriosis is a type of cutaneous endometriosis arising on or near a Cesarean section scar. A 44-year-old woman presented with a $9{\times}6$ cm sized dark-brown, stony-hard, irregular, lower abdominal mass of four years duration. The patient had a history of two Cesarean deliveries, 14 and 16 years ago. Suspecting endometriosis, we excised the tumor conservatively rather than extensively to prevent incisional hernia considering the benign nature of the tumor and the low possibility of recurrence because the patient's age was near menopause, along with simultaneous bilateral salpingo-oophorectomy that was performed in this case. On reconstruction, mini-abdominoplasty was adopted to avoid possible wound complications and cosmetic deformities. The patient was satisfied with the cosmetic results, and neither recurrence nor functional problems occurred during the 1-year follow-up period. Plastic surgeons should keep in mind the possibility of cutaneous endometriosis in an abdominal mass of a female of reproductive age with a previous history of pelvic or intra-abdominal surgery. An optimal result from oncological, functional, and cosmetic standpoints can be achieved with conservative excision followed by mini-abdominoplasty of extensive Cesarean scar endometriosis.

키워드

과제정보

연구 과제 주관 기관 : Chungbuk National University

참고문헌

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피인용 문헌

  1. A Case of Endometriosis in the Abdominal Wall Post Caesarean Section vol.4, pp.2, 2012, https://doi.org/10.4236/ss.2013.42023
  2. Ultrasound-guided high-intensity focused ultrasound treatment for abdominal wall endometriosis: a retrospective study vol.124, pp.None, 2012, https://doi.org/10.1111/1471-0528.14741
  3. Treatment of Abdominal Wall Endometriosis Using a Mini-Abdominoplasty Design vol.24, pp.3, 2012, https://doi.org/10.14730/aaps.2018.24.3.134
  4. Mini-Abdominoplasty after Conservative Excision of Extensive Caesarean Scar Endometriosis vol.9, pp.46, 2012, https://doi.org/10.14260/jemds/2020/768