Evidence map›Paper›PMID 39607442›Full record

SynthesisArchives of gynecology and obstetrics2025

Scar endometriosis, a form of abdominal wall endometriosis-a neglected obstetrical complication?

T M Gruber, K Lange, G S Ebeling, W Henrich, S Mechsner

Abstract readSystematic Review
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

5 authors.

T M GruberDepartment of Obstetrics, Charité Universitätsmedizin Berlin, Berlin, Germany. teresa-mira.gruber@charite.de.ORCID 0009-0002-2659-361X
K LangeDepartment of Obstetrics, Charité Universitätsmedizin Berlin, Berlin, Germany.
G S EbelingDepartment of Obstetrics, Charité Universitätsmedizin Berlin, Berlin, Germany.
W HenrichDepartment of Obstetrics, Charité Universitätsmedizin Berlin, Berlin, Germany.
S MechsnerEndometriosis Center, Charité Universitätsmedizin Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundScar endometriosis (EM) is defined by the presence of endometrial-like tissue outside the uterine cavity within the scar region after abdominal or pelvic surgery. It is a form of abdominal wall EM. This systematic review addresses the question of whether women after cesarean delivery (CD) are more frequently affected by scar EM than women after other pelvic surgical procedures. The primary aim is to analyze the distribution of previous operations in patients with scar EM. Secondarily, symptoms, diagnosis, and treatment are described.

methodsA systematic literature search in MEDLINE (Pubmed) was performed. Twelve studies were included.

resultsThe terminology of scar EM is unspecific and the descriptions are, therefore, of limited comparability among authors. In 64-96%, patients with scar EM had a history of CD, followed by laparoscopy, laparotomy, and episiotomy. The main symptoms were pain, often cyclical, and the presence of local swelling. For diagnosis ultrasound, CT scan and MR imaging were used. All patients had undergone surgical resection and the diagnosis was confirmed.

conclusionMost often scar EM develops after CD. Diagnosis and treatment are often delayed. As an objective classifications system is missing, we propose a simple objective descriptive tool for abdominal wall EM.

Indexed as

Abdominal WallCesarean SectionCicatrixEndometriosisPostoperative ComplicationsFemaleHumansLaparoscopyPregnancyAbdominal wall endometriosisCicatrixPost-operative complicationScar

Identifiers

PMID39607442
PMCPMC12176990

What OpenQuestion holds

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Registered trials

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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.