Молодежный инновационный вестникМолодежный инновационный вестник2415-7805Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации8901UnclassifiedCLINICAL AND ANAMNESTIC FEATURES OF WOMEN WITH POSTOPERATIVE SCAR ENDOMETRIOSISGerasimovAleksey Mihailovichquake98@mail.ruhttps://orcid.org/0000-0002-6254-1385MalyshkinaDaria Andreevnanidsumi@mail.ruhttps://orcid.org/0000-0002-1200-3570SmirnovaAnastasiya Vladimirovnaanguseva@yandex.ruhttps://orcid.org/0000-0002-6811-6830MilovanovaDarya Igorevnadashamlsmi@gmail.comhttps://orcid.org/0000-0002-7332-4351KiselevaAlina Sergeevnasleft070@gmail.comhttps://orcid.org/0000-0002-3077-9372PrusovaAlina Alekseevnaalinaprusova@incloud.comhttps://orcid.org/0000-0001-7268-0832Ivanovo State Medical AcademyIvanovo Research Institute of Motherhood and Childhood named after V. N. Gorodkov2903202312149502104202308062023Copyright © 2023, Gerasimov A.M., Malyshkina D.A., Smirnova A.V., Milovanova D.I., Kiseleva A.S., Prusova A.A.2023<p>Endometriosis is a fairly common disease in women of reproductive age, but its localization in the area of the postoperative scar (EPR) is no longer one of the rare localizations of endometriosis, this is evidenced by the relatively high frequency of its diagnosis in gynecological patients. The paper presents the results of a study of a group of patients of reproductive age who were admitted for surgical treatment of EPR in a gynecological clinic. As a result of a thorough analysis of the clinical case of each patient, we came to the conclusion that EPR is an iatrogenic disease due to the peculiarities of the technique of cesarean section, which requires careful delineation of the edges of the surgical incision from contact with the intrauterine contents.<br /><br /></p>endometriosisscar endometriosiscesarean sectionpostoperative scar endometriosisэндометриозэндометриоз рубцакесарево сечениеэндометриоз послеоперационного рубца<p>Relevance. Endometriosis is an urgent problem of modern gynecology, as it affects up to 10% of women of reproductive age [1]. It is known that this pathology negatively affects both the quality of life of women and their reproductive function. In addition, this pathology requires large financial expenditures on the part of the healthcare system [2]. In recent years, endometriosis of the postoperative scar has been a frequent and insufficiently studied form of the disease, which requires identification of the main risk factors for its development and clinical and anamnestic features of these patients [3].<br />Goal. To identify the clinical and anamnestic features of women with postoperative scar endometriosis.<br />Materials and methods. We examined 68 women diagnosed with postoperative scar endometriosis, the average age was 35.40.9 years. All patients underwent surgical treatment on the basis of the V.N. Gorodkov Iv Research Institute of M and D of the Ministry of Health of the Russian Federation in the period from 2018 to 2022. In addition to collecting anamnesis and a standard gynecological examination, we analyzed the birth histories of women, as well as carried out statistical data processing using Microsoft Excel, Statistica 13.0 program.<br />Results. In the main group of women, endometrioma in relation to the scar was more often on the right 53.8%, on the left 30.8%, central localization was in 15.4% of patients. The endometrioma was located above the scar in 61.3% of cases, 15.4% directly in the scar, 23.07% below, and had a multiple character in 7.9% of cases. During menstruation, there was an increase in the size of the formation in 35.3% of cases, a change in the color of the skin 7.69%. The average size of the pathological formation according to ultrasound data was 18.574.53.754.9 mm3 with fluctuations in individual indicators from 1.400.0 to 64.152.0 mm3. Cesarean section was performed on all patients during delivery according to the classical method with a Pfannenstiel incision of the anterior abdominal wall, however, in 28.4% of cases, the operation was performed before the full 37 weeks of pregnancy due to indications: preeclampsia, fetal distress, incorrect fetal position, complicated myopia, decompensated placental insufficiency, scar on the uterus, clinical inconsistency. In addition to surgical delivery, 77.3% of women underwent surgical interventions: 1 surgical intervention was carried out by 31.8% of patients, 2 interventions 13.6%, 3 or more interventions - 9.1%.<br />Conclusions. Postoperative scar endometriosis is currently not a rare form of endometriosis, while it is not associated with classical endometriosis and has separate predisposing factors: features of cesarean section surgery (contact of wound edges with intrauterine contents), surgical interventions before cesarean section, hypertensive disorders during pregnancy, early delivery.</p>1.Российское общество акушеров-гинекологов. Эндометриоз. Клинические рекомендации. М.: 2020. 40с.2.Culley L, Law C, Hudson N, et al. The social and psychological impact of endometriosis on women's lives: a critical narrative review. Hum Reprod Update, 2013;19(6):625-6393.Эндометриоз послеоперационного рубца / Галимов О.В., Зиангиров Р.А., Алимов В.А. и др.// Пульс. - 2019. - С. 21(9): 56-60.