Cited by 33Endometriosis Research and TreatmentGynecological conditions and treatmentsUterine Myomas and Treatments

Umbilical endometriosis after unprotected removal of uterine pieces through the umbilicus

Koninckx, Philippe R., Donders, Gilbert, Vandecruys, Hilde·2000·The Journal of the American Association of Gynecologic Laparoscopists

Abstract

We reviewed the frequency of umbilical endometriosis after laparoscopic-assisted subtotal hysterectomy with unprotected removal of uterine segments through the umbilical incision. Retrospective analysis of surgical records was followed by recall and clinical examination of 10 patients. Two women developed umbilical endometriosis. One was the only patient operated during menstruation. The other was one of two women operated in the late luteal phase and with subsequent adequate exposure to endogenous or exogenous estrogens. From 1976-1997, 22 reports of umbilical endometriosis were published: 18 cases were spontaneous, 2 occurred after ring sterilization, and 2 after diagnostic laparoscopy. These data lend support to the concept that implantation and the potential development of menstrual endometrium are increased after surgery. It is speculated that procedures that expose menstrual endometrial cells to nonepithelialized areas could be associated with an increased risk of endometriosis.

Integrity signals

Registry

Crossref · 10.1016/s1074-3804(00)80045-6

Cites

55 of 55 references verified0 citation errors · 0 not checkable

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Authors
Koninckx, P. R., Donders, G., & Vandecruys, H.
Affiliations
Universitair Ziekenhuis Leuven (BE)
Corresponding author
Koninckx, Philippe R.
Venue
The Journal of the American Association of Gynecologic Laparoscopists
Publisher
Elsevier BV
Published
2000-05
Volume
7
Issue
2
Pages
227-232
ISSN
1074-3804 (ISSN-L)
OpenAlex
W2053673835
Cited by
33
References
58
Citations by year
2024: 1 · 2022: 1 · 2020: 1 · 2019: 1 · 2017: 2 · 2016: 1 · 2013: 4 · 2012: 5
FWCI
0.27
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of the American Association of Gynecologic Laparoscopists (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
  • Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
Keywords
umbilical endometriosis, surgical risk factors, estrogen exposure, diagnostic laparoscopy, postoperative endometriosis
MeSH terms
Adult, Endometriosis, Female, Humans, Hysterectomy, Menstruation, Middle Aged, Laparoscopy, Retrospective Studies, Umbilicus

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