Rektumendometriose: Segmentresektion versus Organerhalt

In: Geburtshilfe und Frauenheilkunde · 2020 · vol. 80(09) , pp. 886–887 · doi:10.1055/a-1189-8428 · W4245870731
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This study investigated the rates of postoperative complications associated with segment resection versus organ-preserving surgery for rectal endometriosis.

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This brief commentary discusses the surgical management of rectal endometriosis, specifically comparing radical segment resection with conservative organ-sparing techniques such as shaving or disc excision. It references a Belgian research team that investigated the frequency of postoperative complications associated with these two distinct operative approaches to determine which method offers a safer profile for patients. The text highlights the clinical dilemma between achieving complete disease removal through extensive surgery versus preserving organ function while potentially accepting higher risks of recurrence or complications. This paper is centrally about endometriosis — specifically laparoscopic excision of deep infiltrating lesions involving the rectum.

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Abstract

Ein Teil der Patientinnen mit einer das Rektum infiltrierenden Endometriose muss sich einem chirurgischen Eingriff unterziehen. Zur Wahl stehen dabei 2 verschiedene Operationstechniken: Das radikale Vorgehen mit Segmentresektion und der konservative, organerhaltende Ansatz mit Shaving oder Diskexzision. Wie häufig bei diesen beiden Vorgehensweisen mit postoperativen Komplikationen gerechnet werden muss, untersuchte ein belgisches Forscherteam.
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Subscribe to RSS Please copy the URL and add it into your RSS Feed Reader. https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000020.xml Geburtshilfe Frauenheilkd 2020; 80(09): 886-887 DOI: 10.1055/a-1189-8428 DOI: 10.1055/a-1189-8428 GebFra Magazin Aktuell referiert Rektumendometriose: Segmentresektion versus Organerhalt Ein Teil der Patientinnen mit einer das Rektum infiltrierenden Endometriose muss sich einem chirurgischen Eingriff unterziehen. Zur Wahl stehen dabei 2 verschiedene Operationstechniken: Das radikale Vorgehen mit Segmentresektion und der konservative, organerhaltende Ansatz mit Shaving oder Diskexzision. Wie häufig bei diesen beiden Vorgehensweisen mit postoperativen Komplikationen gerechnet werden muss, untersuchte ein belgisches Forscherteam. Publication History Article published online: 02 September 2020 © 2020. Thieme. All rights reserved. Georg Thieme Verlag KG Stuttgart · New York

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