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Gynäkologische Endoskopie pro und contra pp 91–106Cite as

Die chirurgische Therapie der moderaten und der schweren Endometriose

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Zusammenfassung

Die endoskopische Chirurgie hat zweifelsohne zu einer deutlichen Verbesserung der konservativen organerhaltenden Therapie der Endometriose geführt. Insbesondere bei der minimalen und milden Endometriose ist die Laparoskopie der Zugangsweg der Wahl. Auch moderate For-men der Endometriose mit einem einseitigem Endometriom oder mit begrenzten Verwachsungen sind der laparoskopischen Therapie gut zugänglich. Es besteht jedoch keine Einigkeit bezüglich des optimalen operativen Zugangsweges bei schweren Formen der Endometriose [7, 16]. Im Falle einer kompletten Obliteration des Douglasraumes, einer parametranen Infiltration bzw. eines übergreifens der Endometriose auf das hintere Scheidengewolbe oder bei bilateralen großen Endometriomen mit ausgedehnten Verwachsungen ist sowohl eine Laparoskopie als auch eine Laparotomie vertretbar.

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Authors
  1. O. Buchweitz
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  2. E. Malik
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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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Buchweitz, O., Malik, E. (2002). Die chirurgische Therapie der moderaten und der schweren Endometriose. In: Malik, E., Diedrich, K. (eds) Gynäkologische Endoskopie pro und contra. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57440-5_5

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  • DOI: https://doi.org/10.1007/978-3-642-57440-5_5

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-642-63264-8

  • Online ISBN: 978-3-642-57440-5

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