Evidence map›Paper›PMID 20169275›Full record

ReviewSao Paulo medical journal = Revista paulista de medicina2009

Scar endometrioma following obstetric surgical incisions: retrospective study on 33 cases and review of the literature.

Guilherme Karam Corrêa Leite, Luis Fernando Pina de Carvalho, Henri Korkes, Thiago Falbo Guazzelli, Grecy Kenj, Arildo de Toledo Viana

Open access · diamondAbstract readReview
In one paragraph

Review in Sao Paulo medical journal = Revista paulista de medicina, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Article
  8. Review
  9. Review
  10. Review
  11. Abdominal wall endometriosis: An 11-year retrospective observational cohort study.European journal of obstetrics & gynecology and reproductive biology: X · 2019
    Article
  12. Episiotomy scar endometriosis.Medical journal, Armed Forces India · 2018
    Article
  13. Appendectomy Scar Endometriosis: A Case Report.Middle East journal of digestive diseases · 2018
    Article
  14. Evaluation of Cases of Abdominal Wall Endometriosis at Universidade Estadual de Campinas in a period of 10 Years.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2017
    Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Perineal scar endometriosis.The Indian journal of radiology & imaging
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Guilherme Karam Corrêa LeiteHospital Municipal Maternidade-Escola Dr. Mário de Moraes Altenfelder Silva, São Paulo, São Paulo, Brazil.
Luis Fernando Pina de Carvalho
Henri Korkes
Thiago Falbo Guazzelli
Grecy Kenj
Arildo de Toledo Viana
Faculdade de Ciências Médicas da Santa Casa de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CONTEXT AND

objectiveThe incidence of scar endometrioma ranges from 0.03 to 3.5%. Certain factors relating to knowledge of the clinical history of the disease make correct diagnosis and treatment difficult. The aim here was to identify the clinical pattern of the disease and show surgical results. The literature on this topic was reviewed. DESIGN AND

settingRetrospective descriptive study at Hospital Municipal Maternidade - Escola Dr. Mário de Moraes Altenfelder Silva.

methodsData from the medical records of patients with preoperative diagnoses of scar endometrioma who underwent operations between 2001 and 2007 were surveyed and reviewed. The postoperative diagnosis came from histopathological analysis. The main information surveyed was age, obstetric antecedents, symptoms, tumor location, size and palpation, duration of complaint, diagnosis and treatment. All patients underwent tumor excision with a safety margin.

resultsThere were 33 patients, of mean age 30.1 +/- 5.0 years (range: 18-41 years). The total incidence was 0.11%: 0.29% in cesarean sections and 0.01% in vaginal deliveries. Twenty-nine tumors (87.9%) were located in cesarean scars, two (6.0%) in episiotomy scars and two (6.0%) in the umbilical region. The main symptom was localized cyclical pain (66.7%), of mean duration 30.5 months (+/- 23). Surgical treatment was successful in all cases.

conclusionThis is an uncommon disease. The most important diagnostic characteristic is coincidence of painful symptoms with menstruation. Patients undergoing cesarean section are at greatest risk: relative risk of 27.37 (P < 0.01). The surgical treatment of choice is excision of the endometrioma with a safety margin.

Indexed as

AdolescentAdultCesarean SectionCicatrixEndometriosisFemaleHumansPelvic PainPreoperative CareRetrospective StudiesRisk FactorsTreatment OutcomeYoung Adult

Identifiers

PMID20169275
PMCPMC11553114
OpenAlexW2064577120

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.