Abstract:

Abdominal wall endometriosis (AWE) is the most common form of external pelvic endometriosis, which is mainly manifested as gradual enlargement of mass in the abdominal wall, accompanied by progressive and aggravated periodic pain. The pathogenesis of AWE is still unclear, and the formation of the focus is affected by a number of factors, including hormones, gestational weeks of cesarean section, body mass index. Clinically AWE can be diagnosed on the basis of history, symptoms, signs and imaging examination. In recent years, although high-intensity focused ultrasound has been used to treat AWE, but surgical excision is still the preferred treatment. Preoperative classification of AWE helps in the selection of treatment. Currently, according to the depth of tissue invaded by the base of AWE lesion, it can be divided into subcutaneous type, sheath type and peritoneal type. In addition, intraoperative navigation, abdominal wall reconstruction and other technologies also provide more possibilities for accurate personalized medical treatment. With the development of minimally invasive laparoscopic technology, laparoscopy has also been used in the treatment of AWE, but its long-term safety and efficacy remain to be explored.

Key words: Endometriosis, Abdominal wall, Cesarean section, Gynecologic surgical procedures, Laparoscopes, Extracorporeal shockwave therapy