Behandlung der Endometriosis
This paper classifies endometriosis into internal, intraperitoneal, and retroperitoneal types and details that vaginal total hysterectomy is the preferred treatment for internal endometriosis (adenomyosis uteri).
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The paper discusses the treatment of endometriosis by classifying the disease into three groups—internal, intraperitoneal, and retrocervical—and then focusing on internal endometriosis (adenomyosis uteri). It describes symptom patterns such as prolonged and increased menstrual bleeding, irregular bleeding, and dysmenorrhea, and notes frequent findings like a large, hard, poorly movable, pressure-tender uterus with short parametria, usually in women in their forties. The author states that probe abrasion does not clarify diagnosis, that curettage has not shown much therapeutic value, and that X-ray irradiation largely fails. For adenomyosis-related cases, the paper reports that vaginal total extirpation of the uterus is the procedure of choice, despite the limited scope and historical context of the chapter. This paper is centrally about endometriosis — it focuses on endometriosis treatment with specific emphasis on internal endometriosis (adenomyosis uteri).
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- openalex
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