Abstract:

Endometriosis is a disease that causes significant clinical problems when it is extragenital, although it is common in women in the reproductive age. In this study, we aimed to present our clinical experience with symptomatic extragenital inserted intraabdominal endometriosis. Instruments and Methods: Events operated due to different indications between January 2003 and December 2015 and as endometriosis in the final histopathic examination were assessed. In addition to the demographic characteristics of patients, clinical presentations, localizations, performed surgeons and recurrence rates in the follow-up period have been evaluated. The findings: 778 patients diagnosed with endometriosis confirmed histopathologically in our study were examined retrospectively. 32 (4.1%) of the case had extragenital abdominal placement, and all of the patients were symptomatic. The average age of patients was 36 (26-49) and the body mass index was 24 (17-41). At the time of the patient's application, the symptoms were in the form of the mass in the front wall of the abdomen (n:13%40.6) and chronic recurring abdominal/pelvic pain (n:9,28.1%). In 22% of abdominal extragenital endometriosis cases (n=7) the clinical diagnosis was made in the preoperative period. Operations are the mass excision from the front wall of the abdomen, (n=14, 43.8 %), apendectomy (n=5, 15.7 %), pelvic mass excision (n=6, 18.8 %), anterior resection (n=3, 9 %). 4), the right hemicolectomy (n=2,%6.3), was urine stentation (n=2,%6.3) with laparotomy. In all the cases, the surgical limits were intact. At the end of the average 42-month tracking period, 6 cases (18.7%) were observed. Endometriosis should be considered in a distinctive diagnosis in women planned abdominal surgery due to various causes during the reproductive period due to extragenital attachment. The reflection of complete surgical exhaustion, in case the diagnosis of endometriosis is placed in the pre- or intraoperative period, the use of wound protection can reduce the rates of nuts.

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