Abstract:

Abdominal wall endometriosis （AWE） is a rare form of endometriosis occurring in a specificlocation，primarily seen after cesarean section. In the early stages of the disease， when symptoms are not obvious， a wait-and-see approach with observation is usually adopted. When the lesions cause periodic abdominal wall pain and other discomfort， surgical treatment becomes the main focus. Traditional percutaneous incision surgery can remove single， superficial lesions， but when multiple and larger lesions are present， conventional surgical methods have drawbacks， including larger wound size， higher risk of infection， excessive abdominal wall tissue loss， and abdominal wall weakness. The author's team previously reported a case of single-site laparoscopic resection of abdominal wall endometriosis. Through continuous exploration and improvement， this article reports a case of laparoendoscopic single-site resection of multiple abdominal wall endometriosis lesions at the site of a previous cesarean section scar， aiming to provide a new surgical approach for the treatment of abdominal wall endometriosis using laparoendoscopic single-site techniques.

Key words: Abdominal wall endometriosis, Cesarean, Treatment, Laparoendoscopic single-site