KẾT QUẢ PHẪU THUẬT KHỐI LẠC NỘI MẠC TỬ CUNG Ở THÀNH BỤNG TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

Objective: To evaluate the results of surgical treatment in patients with abdominal wall endometriosis at the National hospital of obstetrics and gynecology. Method: A Case-series reports in 94 patients diagnosed with abdominal wall endometriosis who underwent lesion removal surgery at the National hospital of obstetrics and gynecology from January 2021 to December 2023. The main variables recorded included: surgical method, abdominal access, intraoperative and postoperative complications, surgical time, hospital stay, and lesion recurrence. Results: The mean age of the study group was 33.3 years; 100% of patients underwent open surgery. No significant infectious or bleeding complications were recorded after surgery. Lesion resection + abdominal wall fascia reconstruction accounted for the majority of cases with 96.8% of cases. 18.1% had difficulty during surgery; 12.8% of cases had postoperative drainage; 9.6% of cases used hemostatic materials. Larger size, more tumors, new incisions and deeper lesion locations were associated with more difficult surgery. Mean surgical time was 43 ± 24 minutes (20-170); Large size and more lesions, and deeper lesion bases were associated with longer surgical time. Mean hospital stay was 3.6 ± 0.9 days, difficulty in surgery increased the patient's hospital stay after surgery. 16.0% of patients had lesion recurrence after an average of 7.1 months. No statistically significant association was found between tumor recurrence and other factors. Conclusion: Surgical excision of abdominal wall endometriosis is an effective treatment with a low recurrence rate and no significant postoperative complications.