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Cited by 35Endometriosis Research and TreatmentTeratomas and Epidermoid CystsCancer and Skin Lesions

Umbilical endometriosis: A radical excision with laparoscopic assistance

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Fedele, Luigi, Frontino, Giada, Bianchi, Stefano, Borruto, Franco, Ciappina, Nevio·2010·International Journal of Surgery
DOI 10.1016/j.ijsu.2009.11.006
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Abstract

BACKGROUND: Umbilical endometriosis represents the most common site of cutaneous endometriosis. Although its treatment is typically surgical, in literature the approach used is variable and extends from diathermocoagulation to omphalectomy. Such superficial treatments for umbilical endometriosis can predispose the patient to a relapse of the disease. We here present seven cases of umbilical endometriosis treated with radical surgery with a laparoscopically-assisted approach, with a complete and long-term disease-free follow-up. CASES: Seven cases of umbilical endometriosis, four of which relapsing from a prior superficial treatment, were treated radically with a laparoscopically-assisted approach, with a long-term disease-free follow-up. CONCLUSION: Although a medical treatment can be considered, the treatment of choice in these patients should be that of excisional surgery so as to avoid lesion relapse and the risk of oncogenic transformation. Despite umbilical endometriosis is a rare finding, this relatively small case series treated by laparoscopically-assisted omphalectomy shows a complete resolution of the lesion and symptoms along with good aesthetic results at a long-term follow-up.

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  • No postoperative recurrence was reported in cases of radical surgery resected to the peritoneum for umbilical endometriosis.

    “In particular, no postoperative recurrence was reported in cases of radical surgery resected to the peritoneum.”

    From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [50]

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Research works printed but not linked: 2

  1. Goldberg JM, Bedaiwy MA. Recurrent umbilical endometriosis after laparo- scopic treatment of minimal pelvic endometriosis. J Reprod Med 2007;52:551-2.
  2. Daoudu K, Bongain A, Isnard V, Castillon JM, Michiels JF, Gillet JY. Endometriose ombelicale. A propos d'un cas. Rev Fr Gynecol Obstet 1995;90:442-3.

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Authors
Fedele, L., Frontino, G., Bianchi, S., Borruto, F., & Ciappina, N.
Affiliations
  • University of Milan (IT)
  • University of Verona (IT)
Corresponding author
Fedele, Luigi
ORCID
Venue
International Journal of Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2010
Volume
8
Issue
2
Pages
109-111
ISSN
  • 1743-9159 (ISSN-L)
  • 1743-9191
DOI
10.1016/j.ijsu.2009.11.006
OpenAlex
W2047906770
Cited by
35
References
16
Citations by year
2025: 1 · 2023: 3 · 2022: 4 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 3 · 2012: 3
FWCI
1.56
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Surgery (publishedVersion)
  • PubMed (publishedVersion)
  • INFM-OAR (INFN Catania) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Surgery › Teratomas and Epidermoid Cysts
  • Health Sciences › Medicine › Dermatology › Cancer and Skin Lesions
Keywords
umbilical endometriosis, cutaneous endometriosis, radical resection, endometriosis recurrence, oncogenic transformation, diathermocoagulation
MeSH terms
Adult, Biopsy, Needle, Combined Modality Therapy, Endometriosis, Female, Follow-Up Studies, Humans, Immunohistochemistry, Laparotomy, Laparoscopy, Postoperative Complications, Retrospective Studies, Severity of Illness Index, Skin Diseases, Umbilicus, Cohort Studies, Treatment Outcome, Risk Assessment

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