Evidence map›Paper›PMID 33537134›Full record

ArticleAnnals of medicine and surgery (2012)2021

Clinico-pathological assessment of surgically removed abdominal wall endometriomas following cesarean section.

Abdulkarim Hasan, Abdou Deyab, Khaled Monazea, Abdoh Salem, Zahraa Futooh, Mahmoud A Mostafa, Ahmed Youssef, Mohamed Nasr, Nasser Omar, Ali A Rabaan and 1 more

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Article
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  11. Abdominal wall endometriosis: a case report.The Pan African medical journal · 2022
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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

11 authors.

Abdulkarim HasanDepartment of Pathology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Abdou DeyabDepartment of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Khaled MonazeaDepartment of General Surgery, Faculty of Medicine, Al-Azhar University, Assiut Branch, Egypt.
Abdoh SalemDepartment of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Zahraa FutoohDepartment of General Surgery, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
Mahmoud A MostafaDepartment of Internal Medicine and Cardiology, King Fahad Hospital, Albaha, Saudi Arabia.
Ahmed YoussefDepartment of Surgical Oncology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed NasrDepartment of Histology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Nasser OmarDepartment of Pathology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ali A RabaanMolecular Diagnostic Labortaory, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.
Doha M TaieDepartment of Pathology, National Liver Institute, Menoufia University, Shebin El Kom, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOver the past few decades, the rate of Cesarean Section (CS) delivery has been rising rapidly and the prevalence of CS-associated complications including Abdominal Wall Endometriomas (AWE) increases with each additional operation. The aim of this study was to evaluate the clinical characteristics, histopathological diagnostic role and surgical management of post-CS AWE through a retrospective case review.

methodsWe calculated the incidence of AWE and reviewed all the patients underwent surgical removal of Post-CS AWE during the period of 2012-2018 who were diagnosed, treated and followed up for 2-8 years at our tertiary hospital.

resultsThirty women with AWE were included. The main symptom in 2/3 of cases was cyclic pain and 4 cases (13.3%) had no symptoms. The mean interval between prior CS and appearance of symptoms was 55.2 months and the mean size of the excised mass was 42 mm. Free surgical margin was less than 9 mm in 9 patients (30%) but no recurrence was recorded among all the studied patients. Pre-operative FNAC diagnosis was performed for only 3 patients (10%) which helped in excluding other potential pathologies. The clinical-pathological agreement value for detection of the nature of the abdominal wall mass was 93.4%.

conclusionsPatients with suspected AWE should undergo preoperative cytological biopsy to exclude alternative diagnosis. Wide surgical excision with margin of less than 1 cm could be accepted especially in case of weak abdominal wall. More studies on the post-CS complications; risks, prevention, early detection and proper management should be encouraged.

Indexed as

Abdominal wallCesarean sectionEndometriosis surgeryPathology

Identifiers

PMID33537134
PMCPMC7843362

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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.