Endometriosis of Incision Scar or Belly Button

Endometriosis of  Incision Scar or Belly Button

Patient: What is endometriosis at your incisional scar?

Dr.Seckin: This could be a highly troubling issue for the patient, as you are experiencing. The differential diagnosis of pain or mass at your previous incisional scar after your cesarean section or other type of surgery could be either or combination of following conditions, hernia or trapped nerve, neuroma, or endometriosis or fibrosis. 

You need to be examined by skilled gynecological surgeon, who is an endometriosis expert.Your personal history is essential and these questions need to be asked. How many days did you stay in the hospital following cesarean section? Did you problems of passing gas? Did you have postoperative fever? Does this mass pop out with period? Is it painful?

I would order and MRI of CT scans along with sonogram of your pelvis alerting the radiologist to incisional problem. Your overall sutured tissues starting from the uterine incision, bladder fold and peritoneum, two facial layers of rectus muscle have to be evaluated. The nerve at either side of your bikini incision is genitofemoral nerve and it often causes numbness at around your pubic bone and upper vulva area.

Just last year, we had numerous patient operated for the same reason  , probably 7 or 8, half of them had endometriosis, the rest had hernias, and diffuse fibrosis and scar tissue.

Quoting you, "I have had two c-sections, the most recent was ten years ago. My incision has always been sensitive, particularly on the left side. More recently, it has been very painful a couple of days before my period, during, and for a week or so after my period. The sensation is a tearing, restrictive type of pain with swelling. My prior OBGYN who performed the surgery said there were probably just nerve bundles sewn in the incision. I changed to another OBGYN who said it sounded like endometriosis of the incision. She said she has never seen it in her practice and that is is relatively rare. She recommended I have an ultrasound which detected a nodule (This can be felt as well) and determined it was: scar tissue, a chronic hematoma, and/or endometriosis. I was advised to consult with a surgeon wh o basically left the decision up to me if I would like to have the area excised. He said it would be very easy to take care of. It bothers me very much and I would like to have it taken care of. My main concern is that it is done correctly! I didn't see any information on your sight regarding endometriosis of the incision, so I was hoping you could give me a little insight and advice!"

As I go over your case here again, it is clearly endo and  that area needs a wide and deep excision. Fascia has to be put back properly layer by layer. I would not hesitate to view the area underneath from  the peritoneal aspect because most likely there is an extension there if it is endometriosis or endometrioma. I hope this information is helpful to you,

 

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Reviews

  • Kim Molinaro

    Kim Molinaro

    Prior to meeting Dr. Seckin and reading his book, “The Doctor Will See You Now”, I knew little to nothing about endometriosis. I was led to believe that endometriosis was not a serious condition. I was told that the pain could be managed by taking the “pill”. I was told that the cysts on my ovaries were harmless. I was…

  • Rebecca Black

    Rebecca Black

    Fast forward 5 years to find out incidentally I had a failing kidney. My left kidney was only functioning at 18%. During this time, I was preparing all my documents to send to Dr. Seckin to review. However, with this new information I put everything on hold and went to a urologist. After a few months, no one could figure…

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    Monique Roberts

    I'll never stop praising Dr. Seckin and his team. He literally gave me back my life.

  • Erin Brehm

    Erin Brehm

    I had a wonderful experience working with Dr. Seckin and his team before, during and after my surgery. I came to Dr. Seckin having already had laparoscopic surgery for endometriosis 5 years prior, with a different surgeon. My symptoms and pain had returned, making my life truly challenging and my menstrual cycle unbearable. Dr. Seckin was quick to validate my…

  • Anita Schillhorn

    Anita Schillhorn

    I came to Dr. Seckin after years of dealing with endometriosis and doctors who didn't fully understand the disease. He quickly ascertained what needed to be done, laid out the options along with his recommendation and gave me the time to make the right decision for me. My surgery went without a hitch and I'm healing very well. He and…