Laparoscopic Treatment of Abdominal Wall Endometriosis: A Retrospective Analysis of 8 Cases

Jinbo Li¹,  Xiao Li¹, Taicheng Zhou², Lingbing Chou¹, Shuqin Chen¹

(1: Department of Gynecology, The Six Affiliated Hospital, Sun Yat－Sen University， Guangzhou 510080，China. 2: Department of Gastroenterological Surgery and Hernia Center, The Sixth Affiliated Hospital, Sun Yat－Sen University, Guangzhou 510080, China)

Correspondence to：Shuqin Chen,E－mail：chshqin@mail.sysu.edu.cn

 

Abstract

Objective: To summarize the clinical data of abdominal wall endometriosis (AWE) patients who received laparoscopic treatment, and evaluate the feasibility and advantages of laparoscopic treatment of AWE.

Methods: Retrospective analysis of 8 AWE patients who received laparoscopic treatment in our hospital from August 2020 to June 2022, Data of basal clinical characteristics, operation details and postoperative details were collected and analyzed.

Results: All 8 patients received laparoscopic treatment successfully. The average operation time was （212.13 ± 48.16） minutes, the average estimated blood loss was （25.00 ± 11.18）ml and the average postoperative hospital stay was （5.25 ± 1.39）days. Seven patients were found to have concurrent pelvic lesions during operation, including 7 cases of pelvic endometriosis, 2 cases of uterus leiomyoma, and 1 case of bilateral inguinal hernia. Seven patients underwent laparoscopic surgery for the treatment of pelvic lesions simultaneously during the operation, including resection of pelvic endometriosis in 7 patients, myomectomy in 2 patients, and high ligation of inguinal hernia sac in 1 patient. Endometriosis glands were found in postoperative pathological examination of all resected lesions. No intraoperative and postoperative complications were found. No recurrence of AWE was found during follow up period. Conclusion: Laparoscopic surgery is a safe, effective and feasible treatment option for AWE patients, which owns the advantages of diagnosis and treatment of other pelvic lesions at the same time.