Evidence map›Paper›PMID 41366374›Full record

ArticleBMC surgery2025

Beyond the scar: a retrospective analysis of a rare subtype of abdominal wall endometriosis with muscle fascia invasion and its surgical implications.

Muhammet Fatih Keyif, Sabahattin Destek, Betül Keyif

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Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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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

3 authors.

Muhammet Fatih KeyifDepartment of General Surgery, Facult of Medicine, Abant Izzet Baysal University, Bolu, Türkiye. drfatihkeyif16@gmail.com.ORCID http://orcid.org/0000-0001-7346-1041
Sabahattin DestekDepartment of General Surgery, Uskudar University, Istanbul, Türkiye.ORCID http://orcid.org/0000-0002-3569-4386
Betül KeyifDepartment of Gynecology and Obstetrics, Facult of Medicine, Duzce University, Duzce, Türkiye.ORCID http://orcid.org/0000-0002-8521-5486

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbdominal wall endometriosis (AWE) is a rare form of extrapelvic endometriosis, often developing after cesarean section. While typically presenting as a painful mass near surgical scars, its diagnosis is frequently delayed. This study investigates the clinical features, muscle fascia involvement, and surgical outcomes in patients with AWE.

methodsA retrospective review was performed on 21 patients with histologically confirmed AWE treated surgically at a tertiary care center between January 2016 and December 2020. Patient demographics, clinical presentation, lesion characteristics, fascia involvement, surgical techniques, and recurrence rates were analyzed.

resultsAll patients had a prior cesarean section. The most common symptom was a cyclic painful mass (76.2%). Muscle fascia invasion was detected in 42.9% of cases. Polypropylene mesh repair was used in defects ≥ 3 cm. Only one recurrence (4.8%) was observed during a mean follow-up of 22 months. A strong correlation existed between physical and radiologic lesion size (r = 0.923), and between symptom duration and time since cesarean (r = 0.579).

conclusionAWE should be considered in women with abdominal wall masses and cesarean history. Wide excision is effective, and mesh repair offers reliable outcomes in fascia-invading cases. Early recognition and tailored surgical planning help minimize recurrence.

Indexed as

Abdominal WallCesarean SectionCicatrixEndometriosisFasciaAdultFemaleHumansRecurrenceRetrospective StudiesSurgical MeshAbdominal wall endometriosisCesarean scarFasciaMesh repairSurgery

Identifiers

PMID41366374
PMCPMC12802257

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