Operative Konzepte für die Therapie der Endometriose

In: Wiener klinisches Magazin · 2024 · vol. 27(4) , pp. 114–121 · doi:10.1007/s00740-024-00531-5 · W4395012143
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Surgical treatment of endometriosis is challenging and ranges from superficial lesion resection to multidisciplinary organ resection, adapted to patient needs and symptoms, and can positively influence disease progression.

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The paper reviews operative concepts for endometriosis, ranging from resection of superficial peritoneal lesions to multidisciplinary procedures with partial resections involving bowel, urinary bladder, ureter/urogenital tract, and diaphragm. It emphasizes that the radicality of surgery should be tailored to the individual patient and her symptoms, while noting that certain surgical strategies have demonstrated effectiveness. Although surgery is described as rarely being the only solution, it can positively influence the subsequent course of the disease, with the main caveat that the effectiveness depends on appropriate individual adaptation rather than a single uniform approach. This paper is centrally about endometriosis — it focuses specifically on operative strategies and tailoring surgical radicality to symptoms and disease extent.

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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. 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Reprod Biomed Online 22(1):94–99. https://doi.org/10.1016/j.rbmo.2010.09.014 Oliveira MAP, Crispi CP Jr, Brollo LC, Crispi CP, De Wilde RL (2018) Surgery in adenomyosis. Arch Gynecol Obstet 297(3):581–589. https://doi.org/10.1007/s00404-017-4603-6 Author information Authors and Affiliations Corresponding author Ethics declarations Interessenkonflikt 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. Additional information Hinweis des Verlags Der Verlag bleibt in Hinblick auf geografische Zuordnungen und Gebietsbezeichnungen in veröffentlichten Karten und Institutsadressen neutral. 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. QR-Code scannen & Beitrag online lesen Rights and permissions About this article Cite this article 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 Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s00740-024-00531-5

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