Preventable surgical complication: insights from 33 abdominal wall endometriosis cases

Purpose: The aim of this study was to report the diagnosis, treatment and follow-up results of patients operated with the diagnosis of abdominal wall endometriosis and to investigate its preventability. Materials and Methods: This retrospective study included 33 patients who underwent surgery for abdominal wall endometriosis between 2021 and 2024. Diagnostic processes, treatment and follow-up results of the patients were evaluated. Patients were analyzed in terms of age, during from the last pelvic surgery to endometriosis excision, endometriosis location, endometriosis size, mesh use and recurrence. Results: 33 patients were included in the study and the mean age was 32.91±5.64 years. Endometriosis lesions were detected at the Pfannenstiel incision line in all patients, 32 of them had a history of cesarean section and 1 patient had a history of oophorectomy. The lesions were located in the right corner in 19 patients, in the left corner in 12 patients and in the midline of the incision line in 2 patients. Follow-up period was 47.24±25.07 months and no recurrence or hernia was observed in any of the patients. Conclusion: Abdominal wall endometriosis is a preventable complication, and it is necessary to avoid using the remaining vicryl in the fascia during uterine closure during cesarean section and to prevent intraoperative contamination.