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Die endoskopische versus die offen-chirurgische Myomenukleation

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Gynäkologische Endoskopie pro und contra

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Zusammenfassung

Leiomyome sind die häufigsten gutartigen Tumoren des weiblichen Genitales. Sie entstehen unter östrogeneinfluss, sodass sie vor der Me-narche praktisch nie auftreten und nach der Menopause-falls auf eine Hormonersatztherapie verzichtet wird-meist wieder schrumpfen. Etwa 20-25% der Frauen über 35 Jahre haben myömatose Veranderungen der Gebärmutter.

Es gibt keine charakteristischen Symptome, die eindeutig auf das Vorhandensein eines Myomes hinweisen. Die Symptomatik hängt ab von der Größe, der Lage und der Anzahl der Myomknoten. Symptome, die auftreten können, sind Blutungsstörungen, meist Menorrhagien, Schmerzen, Dysmenorrhoe, Sterilität und Infertilät und abdominales Druckgefühl (Blase, Rektum, Harnleiter). Etwa 20% der Myomträgerinnen sind beschwerdefrei.

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Authors
  1. J. Hucke
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  2. U. Füllers
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Editors and Affiliations

  1. Frauenklinik der Medizinischen Fakultät, RWTH Aachen, Pauwelsstraße 30, 52074, Aachen

    Eduard Malik

  2. Medizinische Universität zu Lübeck, Klinik für Frauenheilkunde und Geburtshilfe, Ratzeburger Allee 160, 23538, Lübeck

    Klaus Diedrich

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© 2002 Springer-Verlag Berlin Heidelberg

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Hucke, J., Füllers, U. (2002). Die endoskopische versus die offen-chirurgische Myomenukleation. In: Malik, E., Diedrich, K. (eds) Gynäkologische Endoskopie pro und contra. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57440-5_3

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  • DOI: https://doi.org/10.1007/978-3-642-57440-5_3

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-642-63264-8

  • Online ISBN: 978-3-642-57440-5

  • eBook Packages: Springer Book Archive

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