Preoperative administration of Planovar® in two cases of abdominal wall endometriosis after cesarean section.
We describe 2 cases of abdominal wall endometriosis, a condition that usually occurs in surgical scars from previous cesarean sections and presents as a mass with cyclic pain and swelling. Wide local excision with clear margins seems to be the only effective treatment. However, the mass in our 2 cases changed in size with menstruation, and palpating the masses was sometimes difficult. Therefore, we administered an oral contraceptive containing a combination of estrogen and progesterone (Planovar®) preoperatively to each patient so that the endometrial mass could be reliably palpated on the day of operation. The mass was excised cleanly in each case.
Department of Plastic, Reconstructive and Regenerative Surgery, Graduate School of Medicine, Nippon Medical School, Japan.
Shimpei
S
Nara
Masahiro
M
Murakami
Kotoho
K
Oki
Hisayuki
H
Kaseki
Takashi
T
Matsushima
Hiko
H
Hyakusoku
D034861:Abdominal Wall / Q000473:pathology*; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging