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Zusammenfassung
Die operative Therapie der Endometriose ist anspruchsvoll. Sie reicht von der Resektion oberflächlicher peritonealer Herde bis zur interdisziplinären Operation mit partiellen Organresektionen an Darm, Blase, Urogenitaltrakt und Zwerchfell. Die Radikalität der Operation sollte der Patientin und ihren Symptomen angepasst werden, wobei sich einige prinzipielle operative Konzepte und Strategien bewährt haben. Obwohl die chirurgische Therapie selten die alleinige Lösung ist, vermag sie den weiteren Verlauf der Erkrankung positiv zu beeinflussen.
Abstract
Surgical treatment of endometriosis is challenging. Its extent can vary from resection of superficial, peritoneal lesions to a multidisciplinary approach with partial resection of bowel, urinary bladder, ureter, and diaphragm. The radicality of surgery should be individually adapted to the patient’s needs and symptoms with some surgical strategies having proven to work effectively. Although surgery alone is rarely the only solution, it certainly can positively affect the further course of the disease.
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R. Schmädecker und U.A. Ulrich geben an, dass kein Interessenkonflikt besteht.
Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.
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Dieser Beitrag wurde in der Zeitschrift Die Gynäkologie 3 ・ 2024; 57:138–145 https://doi.org/10.1007/s00129-024-05202-4 erstveröffentlicht. Zweitpublikation mit freundlicher Genehmigung der Autoren.
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Schmädecker, R., Ulrich, U.A. Operative Konzepte für die Therapie der Endometriose. Wien klin Mag 27, 114–121 (2024). https://doi.org/10.1007/s00740-024-00531-5
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DOI: https://doi.org/10.1007/s00740-024-00531-5
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