What is endometrioma?
The presence of the cells covering the inner surface of the uterus in women in places other than the uterus is called endometriosis, and the formation of a mass by these cells is called endometrioma.
What is scar endometrioma?
The presence of a mass consisting of endometrial cells in the abdomen, under the surgical incision scar, is called scar endometrioma.
What is the cause?
The cause of scar endometrioma is considered to be the transplantation of uterine inner surface cells under the skin and proliferation there during the previous cesarean section surgery. In other words, it is actually an undesirable and unexpected result of a cesarean section.
Who gets it?
It is a disease that is seen primarily in women who have had a cesarean section and are still in fertile age. p>
What kind of complaints does it cause?
Mass at the site of cesarean section and sensitivity during menstrual periods are the two main complaints.
What does endometrioma cause by cesarean section? How long does it occur after?
It usually develops 1-2 years after a cesarean section, but it can also be seen to develop a few months later.
Those who have undergone a cesarean section may experience abdominal tenderness during their menstrual periods. Should endometrioma be considered?
Scarring can only be seen in one thousandth to one percent of endometrioma caesarean section surgeries. Therefore, it is an unnecessary concern to think of endometrioma in every woman who has had a cesarean section and has abdominal pain.
How is scar endometrioma diagnosed?
Having had a cesarean section, she has tenderness in the abdomen during menstruation. If there is a mass, it is thought to be an endometrioma. If a mass is detected under the surgical scar through examination and ultrasound, the diagnosis is made. However, the diagnosis of this disease is often delayed. There are two reasons for this. First, the person attributes her complaints to menstrual pain and goes to the doctor late. Secondly, the doctor also thinks that these complaints are menstrual pains and treats them accordingly. After a while, when the complaints do not go away and further examination is performed, it is understood that the scar is an endometrioma.
Is it necessary to perform a biopsy?
Since these masses are located immediately under the skin and are usually 2-4 cm in size. Since they are small in size, it is more reasonable to remove them wholesale rather than performing a biopsy. In this way both The disease is eliminated and the diagnosis becomes definitive.
Can it be confused with another disease?
Yes; It can be confused with diseases such as incisional hernia, wound healing tissue, blood and fluid accumulation, and some subcutaneous tumors. It can also be confused with menstrual pains (premenstrual syndrome).
When is treatment required?
If the physician has detected a mass on the abdominal wall, if the person has a complaint and this mass has disappeared. If he wants it removed, it means there is a need for treatment. If the mass is not removed, pain and tender mass in the abdomen during each menstrual period will restrict the daily life of the person.
What is the treatment?
The treatment of scar endometrioma is the wholesale removal of the mass, that is, surgery. . Since abdominal wall surgeries are the field of general surgery, the surgery for this disease is performed by general surgeons.
Is there a treatment other than surgery?
The most appropriate method to remove the mass is surgery. . But some medications can reduce symptoms. Reducing the size of the mass over time by injecting some substances into it may also be a treatment method. But there is no need for many alternative treatment methods for a disease that is rare and easily and successfully treated with surgery.
How long does one stay in the hospital for surgery?
Removing this mass is a day procedure. It is possible to go home the same day after the procedure without spending the night in the hospital.
Which anesthesia method is used for the surgery?
General anesthesia is mostly used, but local anesthesia is also used in some patients. may be appropriate.
Is scar endometrioma a malignant disease?
Scar endometrioma is not a malignant disease. Once removed, the treatment is completed. It will not cause any other harm to the person.
How is the post-operative period?
There may be tenderness at the surgery site for a day or two after the surgery. Rarely, bleeding and inflammation may occur at the wound site. If these setbacks are noticed and corrected early, the person's normal life will not be affected.
Does it prevent getting pregnant again or having a cesarean section?
Scarring endometrioma itself or its treatment may affect the next pregnancy or cesarean It is not an obstacle for women.
Does it recur after surgery?
Since scar endometrioma is a rare disease, its recurrence has not been seen after removal.
Is drug treatment required after surgery?
With surgery, the scar endometrioma disappears completely and there is no need for any other treatment. However, if the person experiences pain at the surgery site during menstrual periods, medication can be given to relieve this pain.
Can there be an endometrioma in the abdomen? Is it necessary to check the inside of the abdomen?
Some women with scar endometrioma may have the same endometrioma foci in the abdomen. If the person has a complaint in this regard, it is necessary to check the inside of the abdomen. If endometrioma is found in the abdomen, it is necessary to be examined by a gynecologist.
Read: 0
