Endometriosen im chirurgischen Krankengut

Putzki H, H Putzki, Ledwoch J, Jakob Ledwoch, J Ledwoch, W Düben, Walter Düben, Düben W, G. Stauch, Stauch G
Geburtshilfe und Frauenheilkunde · 1985 · vol. 45(01) , pp. 36–39 · doi:10.1055/s-2008-1036202 · PMID:3845026 · W2008987771
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This paper describes surgical management of endometriosis in general surgery patients, including gastrointestinal resection for colon lesions and postoperative histological diagnosis of rare cicatricial or inguinal manifestations.

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This paper examines the presentation and management of endometriosis within general surgical patient populations, focusing on gastrointestinal involvement, scar endometriosis, and other rare anatomical locations. The authors note that pre-operative histological confirmation is frequently unattainable, necessitating surgical resection for colon endometriosis to rule out carcinoma and address associated strictures. Diagnosis for inguinal cysts and scar tissue often relies exclusively on postoperative histological examination following surgical intervention. This paper is centrally about endometriosis — specifically addressing its manifestation in non-gynecological surgical settings such as the gastrointestinal tract and abdominal wall scars.

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Abstract

In general surgery patients, endometrioses can occur in the gastro-intestinal tract; they can also appear as cicatricial endometrioses or can be manifested as other, rare localisations of endometriosis tissue. In many cases it is not possible to arrive at a pre-operative diagnosis which is histologically established. Hence, treatment in endometriosis of the colon is surgical resection in order to delineate it against carcinoma and for the purpose of treating cicatricial stenosis which is usually associated with endometriosis. In cicatricial endometrioses and cysts in the inguinal region, diagnosis became possible only after surgery and postoperative histological examination.
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Subscribe to RSS DOI: 10.1055/s-2008-1036202 © Georg Thieme Verlag Stuttgart · New York Endometriosen im chirurgischen Krankengut Endometrioses in Surgical PatientsPublication History Publication Date: 19 March 2008 (online) Zusammenfassung Endometriosen des Gastrointestinaltraktes, Narbenendometriosen und andere seltene Lokalisationen von Endometriosegewebe sind im allgemein-chirurgischen Krankengut anzutreffende Fälle dieser Erkrankung. Eine präoperative Diagnose mit histologischer Sicherung ist sehr oft nicht zu erreichen. Die Therapie bei Kolonendometriosen ist daher zur Abgrenzung gegen das Karzinom und zur Therapie der meist mitbestehenden narbigen Stenose die Resektion. Bei Narbenendometriosen und Endometriosenzysten in der Leiste führten erst die Operation und die postoperative histologische Untersuchung zur Diagnose. Abstract In general surgery patients, endometrioses can occur in the gastro-intestinal tract; they can also appear as cicatricial endometrioses or can be manifested as other, rare localisations of endometriosis tissue. In many cases it is not possible to arrive at a pre-operative diagnosis which is histologically established. Hence, treatment in endometriosis of the colon is surgical resection in order to delineate it against carcinoma and for the purpose of treating cicatricial stenosis which is usually associated with endometriosis. In cicatricial endometrioses and cysts in the inguinal region, diagnosis became possible only after surgery and postoperative histological examination.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Pelvic Neoplasms Adult Colonic Neoplasms Colonic Neoplasms Endometriosis Female Humans Ileal Neoplasms Ileal Neoplasms Intestinal Obstruction Intestinal Obstruction Male Middle Aged Neoplasm Recurrence, Local Neoplasm Recurrence, Local Neoplasms, Multiple Primary Neoplasms, Multiple Primary Ovarian Neoplasms Ovarian Neoplasms

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