Operative Therapie der Endometriose

J. Keckstein, J. Hucke, U. Ulrich
In: Der Gynäkologe · 2007 · vol. 40(7) , pp. 536–546 · doi:10.1007/s00129-007-2014-7 · W1585684102
article OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

Surgical management of endometriosis, indicated for pain, sterility, and organ distortion, aims to inactivate lesions, with individualized approaches balancing organ preservation and lesion removal, often favoring laparoscopy.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

The paper discusses operative therapy for endometriosis as the most important treatment approach, outlining indications such as severe pain, sterility, and progressive anatomical changes, with the goal of inactivating and/or removing endometriotic lesions. It describes how procedure choice (open laparotomy versus endoscopic surgery) depends on patient age, history, anatomical situation, and patient wishes, and notes that surgeon experience is decisive; it also presents adenomyosis uteri as usually treated by hysterectomy while conservative operations may succeed in selected cases. The authors state that outcomes after endometriosis surgery are highly successful when indications are appropriately chosen and surgery is individually planned, and they report that endoscopic surgery appears superior to conventional laparotomy, without detailing study-level limitations. This paper is centrally about endometriosis — it focuses on operative therapeutic strategies, decision factors, and outcome considerations for endometriosis and briefly includes adenomyosis uteri.

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