Application of Mini-abdominoplasty after Conservative Excision of Extensive Cesarean Scar Endometriosis.
10.5999/aps.2012.39.5.551
- Author:
Eui Tai LEE
1
;
Hyun Min PARK
;
Dong Geun LEE
;
Kyung Jin SHIN
;
Hak Soon KIM
;
Ro Hyun SUNG
;
Dong Hee RYU
Author Information
1. Department of Plastic and Reconstructive Surgery, Chungbuk National University College of Medicine, Cheongju, Korea. etlee@chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Endometriosis;
Cesarean section;
Abdominal wound closure techniques
- MeSH:
Abdominal Wound Closure Techniques;
Adult;
Cesarean Section;
Cicatrix;
Congenital Abnormalities;
Cosmetics;
Endometriosis;
Female;
Follow-Up Studies;
Hernia;
Humans;
Menopause;
Pregnancy;
Recurrence
- From:Archives of Plastic Surgery
2012;39(5):551-555
- CountryRepublic of Korea
- Language:English
-
Abstract:
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 9x6 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.
