Post-surgical endometriosis with varying scenarios: A retrospective study

Abstract

15 Endometriosis is ectopic presence of endometrial tissue outside the uterus. Patients who were admitted in the department of Obstetrics and Gynecology PGIMS Rohtak, with surgical site endometriosis from Jan 2015 to Dec 2019, were analysed in detail. Challenges faced during management, histopathological findings, complication and recurrence, if any, were noted. All the patients presented with a periodic painful swelling. Location varied according to previous surgical sites- abdominal swelling with history of cesarean section or laprotomy and perineal with history of vaginal delivery with episiotomy. Diagnosis was made by clinical examination supplemented by ultrasonography. Treatment was done by wide surgical excision, taking care to include all the endometriotic tissue and confirmed by histopathology. No recurrence was noted in patients after resuming their normal menstruation. It is very important to detect this condition, as early detection gives us scope for timely intervention and better management