[Possibilities of surgery and their differentiated use in the individual treatment of endometriosis]

Subscribe to RSS DOI: 10.1055/s-2003-42280 © Georg Thieme Verlag Stuttgart · New York Operationsmöglichkeiten und ihr differenzierter Einsatz zur individuellen Endometriosebehandlung Possibilities of Surgery and Their Differentiated Use in the Individual Treatment of EndometriosisPublication History Publication Date: 23 September 2003 (online) Zusammenfassung In der Therapie der Endometriose kommen zahlreiche medikamentöse, operative und kombinierte Verfahren zum Einsatz, wobei die Bandbreite des Spektrums in einem auffallenden Kontrast zu den zweifelsfrei gesicherten Erkenntnissen über die tatsächliche Wirksamkeit dieser Therapien steht. Für das operative Vorgehen ist neben einer exakten Indikationsstellung die Einhaltung mittlerweile erarbeiteter Empfehlungen Voraussetzung für den Erfolg. Abstract Numerous medical, surgical, and combined therapies have been proposed in the management of endometriosis. This range of treatment options contrasts remarkably with the evidence regarding their respective proven success rates. An exact preoperative differential diagnosis as well as adherence to operative recommendations that have been established meanwhile are essential for optimal results of surgery. Schlüsselwörter infiltrierende Endometriose - Ovarialendometriose - Indikationsstellung - Operationsverfahren Key words Deeply infiltrating endometriosis - ovarian endometriosis - indications for surgery - surgical procedures Literatur - 1 Bailey H R, Ott M T, Hartendorp P. Aggressive surgical management for advanced colorectal endometriosis. Dis Colon Rectum. 1994; 37 747-753 - 2 Ballweg M L. New research directions. In: Ballweg ML and the Endometriosis Association (Eds). The Endometriosis Sourcebook. Contemporary Books, Chicago 1995; 409 - 430 - 3 Beretta P, Franchi M, Ghezzi F, Busacca M, Zupi E, Bolis P. Randomized clinical trial of two laparoscopic treatments of endometriomas: cystectomy versus drainage and coagulation. Fertil Steril. 1998; 70 1176-1180 - 4 Donnez J, Nisolle M, Gillet N, Smets M, Bassil S, Casanas-Roux F. Large ovarian endometriomas. Hum Reprod. 1996; 11 641-646 - 5 Olive D L, Pritts E A. Treatment of endometriosis. N Engl J Med. 2001; 345 266-275 - 6 Pagidas K, Falcone T, Hemmings R, Miron P. Comparison of reoperation for moderate (stage III) and severe (stage IV) endometriosis-related infertility with in vitro fertilization-embryo transfer. Fertil Steril. 1996; 65 791-795 - 7 Possover M, Diebolder H, Plaul K, Schneider A. Laparascopically assisted vaginal resection of rectovaginal endometriosis. Obstet Gynecol. 2000; 96 304-307 - 8 Possover M, Ulrich U. Endometriose - Standards für problematische Krankheitsbilder. Frauenarzt. 2003; 44 im Druck - 9 Sillem M, Teichmann A T. Patientinnenzentrierte Aspekte der Endometriose. Gynä kologe. 2003; 36 41-52 - 10 Sutton C JG, Pooley S, Ewen S P, Haines P. Follow-up report on a randomized controlled trial of laser laparoscopy in the treatment of pelvic pain asociated with mild to moderate endometriosis. Fertil Steril. 1997; 68 1070-1074 - 11 Urbach D R, Reedijk M, Richard C S, Lie K I, Ross T M. Bowel resection for intestinal endometriosis. Dis Colon Rectum. 1998; 41 1158-1164 - 12 Vercellini P, Frontino G, De Giorgi O, Pietropaolo G, Pasin R, Crosignani P G. Endometriosis: preoperative and postoperative medical treatment. Obstet Gynecol Clin North Am. 2003; 30 163-180 - 13 Wilson M L, Farquhar C M, Sinclair O J, Johnson N P. Surgical interruption of pelvic nerve pathways for primary and secondary dysmenorrhea (Cochrane review). In: The Cochrane Library 2, 2002, Oxford: Update software Priv. Doz. Dr. med. M. Sillem Frauenklinik im Klinikum Am Hasenkopf 63739 Aschaffenburg Email: [email protected]