Cited by 23Endometriosis Research and TreatmentHernia repair and managementUterine Myomas and Treatments

Scar Endometriosis Developing After an Umbilical Hernia Repair with Mesh

Majeski, James, Craggie, James·2004·Southern Medical Journal

Abstract

A 44-year-old female was initially evaluated for a 3-cm umbilical hernia, which developed after a laparoscopic myomectomy performed seven years prior. The umbilical hernia was repaired using a synthetic mesh. Eight months after the umbilical hernia repair, the patient returned with chronic pain in a 3-cm raised mass originating from the umbilical hernia repair incision. The mass and mesh were surgically removed. The umbilical fascial defect was repaired with a primary fascia-to-fascia closure and the umbilicus was reconstructed from adjacent skin. The mass was found histologically to be endometriosis and fascial scarring with a foreign body reaction to synthetic mesh. Umbilical endometriosis developed either from peritoneal endometrial seeding from a laparoscopic myomectomy or from metaplasia of multipotential cells, which developed into endometriosis due to inflammatory stimulation by the synthetic mesh. Synthetic mesh probably should be avoided in the surgical repair of a laparoscopically caused umbilical hernia in a premenopausal female especially if there is a history of pelvic endometriosis.

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Registry

Crossref · 10.1097/00007611-200405000-00024

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14 of 14 references verified0 citation errors · 0 not checkable

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Authors
Majeski, J., & Craggie, J.
Venue
Southern Medical Journal
Published
2004-05
Volume
97
Issue
5
Pages
532-534
ISSN
0038-4348 (ISSN-L)
OpenAlex
W1596245490
Cited by
23
References
14
Citations by year
2023: 1 · 2022: 1 · 2020: 1 · 2019: 1 · 2016: 2 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 5
FWCI
0.65
Type
journal article
Language
en
Open access
closed
Locations
  • Southern Medical Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Surgery › Hernia repair and management
  • Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
Keywords
umbilical endometriosis, umbilical hernia repair, synthetic mesh, foreign body reaction, laparoscopic myomectomy, postoperative complications, mesh complications, umbilical reconstruction, premenopausal women, pelvic endometriosis
MeSH terms
Adult, Endometriosis, Female, Foreign-Body Reaction, Hernia, Umbilical, Humans, Keloid, Laparoscopy, Surgical Mesh, Umbilicus

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