Topical Egyptian Bee Honey and Royal Jelly following Post Surgical Removal of Recurrent Cesarean Scar Endometriosis

Aims: Proper healing and avoidance of recurrence are considerable issues following surgical removal of cutaneous endometriosis. The work aimed to show the effect of topical Egyptian bee honey and royal jelly on wound healing and recurrence rate after removal of recurrent cesarean section scar endometriosis.

Material and Methods: Seven cases of recurrent endometriotic lesions of cesarean section scar were studied. The lesions were characterized by cyclic enlargement and severe pain during menstruation. The patients were treated with surgical excision, followed by topical application of Egyptian bee honey and royal jelly, twice daily for 3 successive days. The cases were followed up for healing and recurrence within 2 years post treatment.

Results: All 7 cases showed complete external healing within less than 2 weeks. No one patient developed sepsis or wound dehiscence. No recurrence was observed over 2 year follow-up period. Four patients were subsequently delivered by cesarean section without developing further recurrence over 6 months' 2ry follow-up period.

Conclusion: Topical application of Egyptian bee honey and royal jelly seems of positive value for the promotion of healing and reducing the rate of recurrence following removal of endometriosis of cesarean section scar. Extending the study over longer follow-up periods and on larger number of cases is required for firmer conclusions.