Laparoskopische Therapie der Endometriose

Zusammenfassung Die operative Entfernung der Endometriose gilt nach derzeitigem Wissensstand als optimale Therapie zur Kontrolle der Symptome und bei Sterilität. Wenn möglich, wird man hierfür die Laparoskopie einsetzen. Ungelöste Probleme sind die Persistenz und die Rezidivneigung der Erkrankung. Abstract In endometriosis, surgical removal of manifestations of the disease is considered the state-of-the-art treatment for both symptom control and infertility. While whenever possible, laparoscopic surgery should be employed, both persistence and recurrence are unsolved problems of the disease. Similar content being viewed by others Literatur Abbott J, Hawe J, Hunter D et al. (2004) Laparoscopic excision of endometriosis: a randomized, placebo-controlled trial. Fertil Steril 82: 878–884 Alborzi S, Momtahan M, Parsanezhad ME et al. (2004) A prospective, randomized study comparing laparoscopic ovarian cystectomy vs. fenestration and coagulation in patients with endometriomas. Fertil Steril 82: 1633–1637 Camagna O, Dhainaut C, Dupuis O et al. (2004) Chirurgisches Vorgehen bei Endometriose des Septum rectovaginale in einer konsekutiven Serie von 50 Fällen [auf Französisch]. Gynecol Obstet Fertil 32: 199–209 Chopin N, Vieira M, Borghese B et al. (2005) Operative management of deeply infiltrating endometriosis: Results on pelvic pain symptoms according to a surgical classification. J Min Invas Gynecol 12: 106–112 Darai E, Thomassin I, Barranger E et al. (2005) Feasibility and clinical outcome of laparoscopic colorectal resection for endometriosis. Am J Obstet Gynecol 192: 394–400 Decker D, König J, Wardelmann E et al. (2004) Terminal ileitis with sealed perforation — a rare complication of intestinal endometriosis. Arch Gynecol Obstet 270: 230–234 Fedele L, Bianchi S, Zanconato G et al. (2001) Use of a levonorgestrel-releasing intrauterine device in the treatment of rectovaginal endometriosis. Fertil Steril 75: 485–488 Fedele L, Bianchi S, Zanconato G et al. (2004) Is rectovaginal endometriosis a progressive disease ? Am J Obstet Gynecol 191: 1539–1542 Ford J, English J, Miles WA et al. (2004) Pain, quality of life and complications following the radical resection of rectovaginal endometriosis. Br J Obstet Gynaecol 111: 353–356 Garry R (2004) The effectiveness of laparoscopic excision of endometriosis. Curr Opin Obstet Gynecol 16: 299–303 Giudice LC, Kao LC (2004) Endometriosis. Lancet 364: 1789–1799 Gruppo Italiano per lo Studio dell‘ Endometriosi (2001) Relationship between stage, site and morphological characteristics of pelvic endometriosis and pain. Hum Reprod 16: 2668–2671 Hucke J, Wallwiener D (2004) Die laparoskopische suprazervikale Hysterektomie. Frauenarzt 45: 681 Jacobson TZ, Barlow DH, Koninckx PR et al. (2005) Laparoscopic surgery for subfertility associated with endometriosis (Cochrane Review). In: The Cochrane Library, Issue 1, John Wiley & Sons, Chichester, UK Jones KD, Sutton CJ (2002) Recurrence of chocolate cysts after laparoscopic ablation. J Am Assoc Gynecol Laparosc 9: 315–320 Keckstein J, Ulrich U, Kandolf O et al. (2003) Die laparoskopische Therapie der Darmendometriose und der Stellenwert der medikamentösen Therapie. Zentralbl Gynäkol 125: 259–266 Keckstein J, Ulrich U (2004) Endokrine und operative Therapie der Adenomyose. Gynäkol Endokrinol 2: 11–18 Neis K (federführend) (2004) Leitlinie zur laparoskopischen Operation von Ovarialtumoren.http://www.dggg.de Ozaki T, Takahashi K, Okada M (1999) Live birth after conservative surgery for severe adenomyosis following magnetic resonance imaging and gonadotropin-releasing hormone agonist therapy. Int J Fertil Womens Med 44: 260–264 Possover M, Diebolder H, Plaul K et al. (2000) Laparoscopically-assisted vaginal resection of rectovaginal endometriosis. Obstet Gynecol 96: 304–307 Possover M, Stober S, Plaul K et al. (2000) Identification and preservation of the motoric innervation of the bladder in radical hysterectomy type III. Gynecol Oncol 79: 154–157 Probst W (2003) Darmendometriose — Operative Möglichkeiten und Techniken. Zentralbl Gynäkol 125: 299–300 Rickes D, Nickel I, Kropf S et al. (2002) Increased pregnancy rates after ultralong postoperative therapy with gonadotropin-releasing hormone analogs in patients with endometriosis. Fertil Steril 78: 757–762 Sarmini R, Lefholz K, Froeschke H (2005) A comparison of laparoscopic supracervical hysterectomy and total abdominal hysterectomy outcomes. J Min Invas Gynecol 12: 121–124 Schweppe K-W (2003) Endometriose — Eine Erkrankung ohne Lobby. Zentralbl Gynäkol 125: 233 Schweppe K-W (2005) Endometriose: Aktueller Stand von Diagnose und Therapie. Frauenarzt 46: 373–381 Tinkanen H, Kujansuu E (2000) In vitro fertilization in patients with ovarian endometriomas. Acta Obstet Gynecol Scand 79: 119–122 Ulrich U, Sillem M, Keckstein J (2002) Endometriose — medikamentöse und chirurgische Therapie. Med Welt 53: 23–28 Ulrich U, Possover M (2003) Endometriose: Standards für problematische Krankheitsbilder. Frauenarzt 44: 857–859 Walter AJ, Hentz JG, Magtibay PM et al. (2001) Endometriosis: correlation between histologic and visual findings at laparoscopy. Am J Obstet Gynecol 184: 1407–1411 Interessenkonflikt: Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Ulrich, U., Schultheis, KH., Wiesinger, H. et al. Laparoskopische Therapie der Endometriose. Gynäkologe 38, 977–982 (2005). https://doi.org/10.1007/s00129-005-1754-5 Issue date: DOI: https://doi.org/10.1007/s00129-005-1754-5