In the abdominal wall endometrioma case, what operative procedure was performed?

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The main idea is definitive removal with clean margins. An abdominal wall endometrioma is a localized mass of endometrial tissue embedded in scar tissue of the abdominal wall. The best management is excision of the lesion with an adequate margin to remove all affected tissue and to obtain a specimen for pathologic confirmation, which helps prevent recurrence. Biopsy alone wouldn’t remove the entire lesion or relieve symptoms, drainage isn’t appropriate for a solid endometrioma, and laparoscopic removal is aimed at pelvic disease and may not address a discrete abdominal wall mass. Therefore, removing the abdominal wall endometrioma completely is the appropriate approach.