Endoskopische Techniken in der Reproduktionsmedizin

In: Springer Reference Medizin · 2018 · pp. 1–15 · doi:10.1007/978-3-662-55601-6_18-1 · W4234399683
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Endoscopic techniques are crucial in reproductive medicine for diagnosis, pathology detection, and procedures like polyp removal, myomectomy, adhesiolysis, and endometriosis treatment, and are increasingly relevant for fertility preservation.

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This paper is a review of endoscopic techniques in reproductive medicine, covering diagnostic and operative uses across the female genital tract. It describes high-level roles of hysteroscopy (e.g., removal of polyps, septa and myomas; synechiolysis), laparoscopy (e.g., myom enucleation, adhesiolysis, endometriosis surgery, tubal procedures, and operative management of PCOS), and expanding use in patients seeking fertility preservation during treatment for oncologic or autoimmune diseases. The key finding is that endoscopy is portrayed as integral for identifying and treating pelvic pathologies affecting reproduction, with the scope framed as an overview rather than an explicit evidence synthesis. This paper is centrally about endometriosis and adenomyosis — it specifically includes endometriosis surgery among major laparoscopic endoscopic indications in reproductive medicine.

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Zusammenfassung Endoskopische Methoden sind integraler Bestandteil der Reproduktionsmedizin. Neben rein diagnostischen Abklärungen des inneren Genitales der Frau, wie im Rahmen der Chromopertubation, kommt der Endoskopie eine hohe Bedeutung beim Nachweis von Pathologien zu. Zu den Standardeingriffen zählen im Rahmen der operativen Hysteroskopie die Abtragung von Polypen, Septen und Myomen und die Synechiolyse. Laparoskopisch kommen der Myomenukleation, der Adhäsiolyse, der Endometriose-Sanierung, tubenchirurgischen Maßnahmen sowie der operativen Behandlung des Syndroms der polyzystischen Ovarien (PCOS) hohe Bedeutung zu. Zunehmend relevant werden endoskopische Methoden auch bei Patientinnen mit Wunsch nach Fertilitätserhalt im Rahmen der Therapie onkologischer oder autoimmuner Erkrankungen. Similar content being viewed by others Literatur Adamson GD (2011) The modern role of reproductive surgery. Clin Obstet Gynecol 54:710–719 Ahmad G, Watson A, Vandekerckhove P, Lilford R (2006) Techniques for pelvic surgery in subfertility. Cochrane Database Syst Rev (2):CD000221 Ahmad G, O’Flynn H, Hindocha A, Watson A (2015) Barrier agents for adhesion prevention after gynaecological surgery.Cochrane Database Syst Rev (4):CD000475 Amer SA, Banu Z, Li TC, Cooke ID (2002a) Long-term follow-up of patients with polycystic ovary syndrome after laparoscopic ovarian drilling: endocrine and ultrasonographic outcomes. Hum Reprod 17:2851–2857 Amer SA, Gopalan V, Li TC, Ledger WL, Cooke ID (2002b) Long term follow-up of patients with polycystic ovarian syndrome after laparoscopic ovarian drilling: clinical outcome. Hum Reprod 17:2035–2042 American Fertility Society (1988) The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril 49:944–955 American Society for Reproductive Medicine – ASRM (2008a) Definitions of infertility and recurrent pregnancy loss. Fertil Steril 90(5 Suppl):S60 American Society for Reproductive Medicine – ASRM (2008b) Patient’s fact sheet. Recurrent pregnancy loss. American society for reproductive medicine. http://www.asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/recurrent_preg_loss.pdf. Zugegriffen am 14.01.2018 Badawy A, Elnashar A (2011) Treatment options for polycystic ovary syndrome. Int J Womens Health 3:25–35 Berman JM (2008) Intrauterine adhesions. Semin Reprod Med 26:349–355 Bernard G, Darai E, Poncelet C, Benifla JL, Madelenat P (2000) Fertility after hysteroscopic myomectomy: effect of intramural myomas associated. Eur J Obstet Gynecol Reprod Biol 88:85–90 Bhave Chittawar P, Franik S, Pouwer AW, Farquhar C (2014) Minimally invasive surgical techniques versus open myomectomy for uterine fibroids. Cochrane Database Syst Rev (10):CD004638 Bohlmann MK, von Wolff M, Luedders DW, Beuter-Winkler P, Diedrich K, Hornemann A, Strowitzki T (2010) Hysteroscopic findings in women with two and with more than two first-trimester miscarriages are not significantly different. Reprod BioMed Online 21:230–236 Bourdel N, Dejou-Bouillet L, Roman H, Jaffeux P, Aublet-Cuvelier B, Mage G, Pouly JL, Canis M (2011) Endometriosis and postoperative infertility. A prospective study (Auvergne cohort of endometriosis). Gynecol Obstet Fertil [Epub vor Druck] Brucker SY, Rall K, Campo R, Oppelt P, Isaacson K (2011) Treatment of congenital malformations. Semin Reprod Med 29:101–112 Bruggmann D, Tchartchian G, Wallwiener M, Munstedt K, Tinneberg HR, Hackethal A (2010) Intra-abdominal adhesions: definition, origin, significance in surgical practice, and treatment options. Dtsch Arztebl Int 107:769–775 Cai J, Liu L, Sun L, Sha A, Jiang X, Ren J (2016) Effects of previous ovarian drilling on cumulative ongoing pregnancy rates among patients with polycystic ovarian syndrome undergoing in vitro fertilization. Int J Gynaecol Obstet 134:272–277 Carbonnel M, Ducarme G, Dessapt AL, Yazbeck C, Hugues JN, Madelenat P, Poncelet C (2011) Efficacy of transient abdominal ovariopexy in patients with severe endometriosis. Eur J Obstet Gynecol Reprod Biol 155:183–187 Catenacci M, Goldberg JM (2011) Transvaginal hydrolaparoscopy. Semin Reprod Med 29:95–100 Chen L, Zhang H, Wang Q, Xie F, Gao S, Song Y, Dong J, Feng H, Xie K, Sui L (2017) Reproductive outcomes in patients with intrauterine adhesions following hysteroscopic adhesiolysis: experience from the largest women’s hospital in China. J Minim Invasive Gynecol 24:299–304 Coppus SF, Opmeer BC, Logan S, van der Veen F, Bhattacharya S, Mol BW (2007) The predictive value of medical history taking and Chlamydia IgG ELISA antibody testing (CAT) in the selection of subfertile women for diagnostic laparoscopy: a clinical prediction model approach. Hum Reprod 22:1353–1358 Demirol A, Gurgan T (2004) Effect of treatment of intrauterine pathologies with office hysteroscopy in patients with recurrent IVF failure. Reprod BioMed Online 8:590–594 Di Spiezio Sardo A, Di Carlo C, Minozzi S, Spinelli M, Pistotti V, Alviggi C, De Placido G, Nappi C, Bifulco G (2016) Efficacy of hysteroscopy in improving reproductive outcomes of infertile couples: a systematic review and meta-analysis. Hum Reprod Update 22:479–496 Dubuisson JB, Fauconnier A, Fourchotte V, Babaki-Fard K, Coste J, Chapron C (2001) Laparoscopic myomectomy: predicting the risk of conversion to an open procedure. Hum Reprod 16:1726–1731 Duffy JM, Johnson N, Ahmad G, Watson A (2009) Postoperative procedures for improving fertility following pelvic reproductive surgery. Cochrane Database Syst Rev (2):CD001897 Eftekhar M, Deghani Firoozabadi R, Khani P, Ziaei Bideh E, Forghani H (2016) Effect of Laparoscopic Ovarian drilling on outcomes of in vitro fertilization in clomiphene-resistant women with polycystic ovary syndrome. Int J Fertil Steril 10:42–47 Eldar-Geva T, Meagher S, Healy DL, MacLachlan V, Breheny S, Wood C (1998) Effect of intramural, subserosal, and submucosal uterine fibroids on the outcome of assisted reproductive technology treatment. Fertil Steril 70:687–691 El-Toukhy T, Campo R, Khalaf Y, Tabanelli C, Gianaroli L, Gordts SS, Gordts S, Mestdagh G, Mardesic T, Voboril J, Marchino GL, Benedetto C, Al-Shawaf T, Sabatini L, Seed PT, Gergolet M, Grimbizis G, Harb H, Coomarasamy A (2016) Hysteroscopy in recurrent in-vitro fertilisation failure (TROPHY): a multicentre, randomised controlled trial. Lancet 387:2614–2621 Farquhar C, Lilford RJ, Marjoribanks J, Vandekerckhove P (2007) Laparoscopic ‚drilling‘ by diathermy or laser for ovulation induction in anovulatory polycystic ovary syndrome. Cochrane Database Syst Rev (3):CD001122 Fernandez H, Sefrioui O, Virelizier C, Gervaise A, Gomel V, Frydman R (2001) Hysteroscopic resection of submucosal myomas in patients with infertility. Hum Reprod 16:1489–1492 Fernandez H, Morin-Surruca M, Torre A, Faivre E, Deffieux X, Gervaise A (2011) Ovarian drilling for surgical treatment of polycystic ovarian syndrome: a comprehensive review. Reprod BioMed Online 22:556–568 Flyckt RL, Goldberg JM (2011) Laparoscopic ovarian drilling for clomiphene-resistant polycystic ovary syndrome. Semin Reprod Med 29:138–146 Forman RG, Robinson JN, Mehta Z, Barlow DH (1993) Patient history as a simple predictor of pelvic pathology in subfertile women. Hum Reprod 8:53–55 Gaetini A, De Simone M, Urgesi A, Levis A, Resegotti A, Ragona R, Anglesio S (1988) Lateral high abdominal ovariopexy: an original surgical technique for protection of the ovaries during curative radiotherapy for Hodgkin’s disease. J Surg Oncol 39:22–28 Giudice LC (2010) Clinical practice. Endometriosis. N Engl J Med 362:2389–2398 Gjonnaess H (1998) Late endocrine effects of ovarian electrocautery in women with polycystic ovary syndrome. Fertil Steril 69:697–701 Gordts S, Campo R, Puttemans P, Verhoeven H, Gianaroli L, Brosens J, Borsens I (2002) Investigation of the infertile couple: a one-stop outpatient endoscopy-based approach. Hum Reprod 17:1684–16847 Gordts S, Puttemans P, Brosens I, Campo R (2005) Transvaginal laparoscopy. Best Pract Res Clin Obstet Gynaecol 19:757–767 Grabenbauer GG, Girke P, Wildt L, Muller RG, Herbst M, Sauer R (1991) Ovariopexy and the treatment of Hodgkin’s disease. Strahlenther Onkol 167:273–276 Graspeuntner S, Bohlmann MK, Gillmann K, Speer R, Kuenzel S, Mark H, Hoellen F, Lettau R, Griesinger G, König IR, Baines JF, Rupp J (2018) Microbiota-based analysis reveals specific bacterial traits and a novel strategy for the diagnosis of infectious infertility. PLoS One 13:e0191047 Guimaraes Filho HA, Mattar R, Pires CR, Araujo Junior E, Moron AF, Nardozza LM (2006) Comparison of hysterosalpingography, hysterosonography and hysteroscopy in evaluation of the uterine cavity in patients with recurrent pregnancy losses. Arch Gynecol Obstet 274:284–288 Hirschelmann A, Tchartchian G, Wallwiener M, Hackethal A, De Wilde RL (2011) A review of the problematic adhesion prophylaxis in gynaecological surgery. Arch Gynecol Obstet [Epub vor Druck] Hornemann A, Lüdders DW, Kubartski M, Thill M, Altgassen C, Diedrich K, Bohlmann MK (2009) Anatomische Ursachen für habituelle Aborte. Gynäkologe 42:11–16 Jacobs VR, Paepke S, Schwarz-Boeger U, Fischer T, Pildner von Steinburg S, Plattner B, Schmalfeldt B, Schaaf H, Kiechle M (2005) Development of a thinner and more flexible type of minihysteroscope with a controlled 90-degree bendable tip for vision-guided endometrium biopsy. J Minim Invasive Gynecol 12:426–431 Jacobson TZ, Duffy JM, Barlow D, Farquhar C, Koninckx PR, Olive D (2010) Laparoscopic surgery for subfertility associated with endometriosis. Cochrane Database Syst Rev (1):CD001398 Jin C, Hu Y, Chen XC, Zheng FY, Lin F, Zhou K, Chen FD, Gu HZ (2009) Laparoscopic versus open myomectomy – a meta-analysis of randomized controlled trials. Eur J Obstet Gynecol Reprod Biol 145:14–21 Kavallaris A, Panayotidis C, Chalvatzas N, Banz C, Diedrich D, Hornemann A (2010) Rupture rates after laparocopic myomectomy using single stitches in only one layer. Gynecol Surg 7:437–439 Kim MR, Kim YA, Jo MY, Hwang KJ, Ryu HS (2003) High frequency of endometrial polyps in endometriosis. J Am Assoc Gynecol Laparosc 10:46–48 Kodaman PH, Arici A, Seli E (2004) Evidence-based diagnosis and management of tubal factor infertility. Curr Opin Obstet Gynecol 16:221–229 Li TC, Saravelos H, Chow MS, Chisabingo R, Cooke ID (1998) Factors affecting the outcome of laparoscopic ovarian drilling for polycystic ovarian syndrome in women with anovulatory infertility. Br J Obstet Gynaecol 105:338–344 Lieng M, Istre O, Langebrekke A (2004) Uterine rupture after laparoscopic myomectomy. J Am Assoc Gynecol Laparosc 11:92–93 Liu H, Lang JH (2011) Is abnormal eutopic endometrium the cause of endometriosis? The role of eutopic endometrium in pathogenesis of endometriosis. Med Sci Monit 17:RA92–RA99 Lumsden MA (2002) Embolization versus myomectomy versus hysterectomy: which is best, when? Hum Reprod 17:253–259 Lunde O, Djoseland O, Grottum P (2001) Polycystic ovarian syndrome: a follow-up study on fertility and menstrual pattern in 149 patients 15–25 years after ovarian wedge resection. Hum Reprod 16:1479–1485 Malartic C, Morel O, Akerman G, Tulpin L, Clement D, Barranger E (2007) Laparoscopic myomectomy in 2007: state of the art. J Gynecol Obstet Biol Reprod (Paris) 36:567–576 Malzoni M, Sizzi O, Rossetti A, Imperato F (2006) Laparoscopic myomectomy: a report of 982 procedures. Surg Technol Int 15:123–129 March CM (2011) Asherman’s syndrome. Semin Reprod Med 29:83–94 Muzii L, Angioli R, Tambone V, Zullo MA, Marana R, Panici PB (2010) Salpingoscopy during laparoscopy using a small-caliber hysteroscope introduced through an accessory trocar. J Laparoendosc Adv Surg Tech A 20:619–621 NICE (2004) Fertility: assessment and treatment for people with fertility problems. NICE. http://humrep.oxfordjournals.org/content/22/5/1353.long. Zugegriffen am 14.01.2018 Nouri K, Ott J, Huber JC, Fischer EM, Stogbauer L, Tempfer CB (2010) Reproductive outcome after hysteroscopic septoplasty in patients with septate uterus – a retrospective cohort study and systematic review of the literature. Reprod Biol Endocrinol 8:52 Ott J, Kurz C, Nouri K, Wirth S, Vytiska-Binstorfer E, Huber JC, Mayerhofer K (2010) Pregnancy outcome in women with polycystic ovary syndrome comparing the effects of laparoscopic ovarian drilling and clomiphene citrate stimulation in women pre-treated with metformin: a retrospective study. Reprod Biol Endocrinol 8:45 Papaioannou S, Afnan M, Jafettas J (2007) Tubal assessment tests: still have not found what we are looking for. Reprod BioMed Online 15:376–382 Parsanezhad ME, Azmoon M, Alborzi S, Rajaeefard A, Zarei A, Kazerooni T, Frank V, Schmidt EH (2010) A randomized, controlled clinical trial comparing the effects of aromatase inhibitor (letrozole) and gonadotropin-releasing hormone agonist (triptorelin) on uterine leiomyoma volume and hormonal status. Fertil Steril 93:192–198 Pereira N, Petrini AC, Lekovich JP, Elias RT, Spandorfer SD (2015) Surgical management of endometrial polyps in infertile women: a comprehensive review. Surg Res Pract 2015:914390 Perez-Medina T, Bajo-Arenas J, Salazar F, Redondo T, Sanfrutos L, Alvarez P, Engels V (2005) Endometrial polyps and their implication in the pregnancy rates of patients undergoing intrauterine insemination: a prospective, randomized study. Hum Reprod 20:1632–1635 Pundir J, El Toukhy T (2010) Uterine cavity assessment prior to IVF. Womens Health (London) 6:841–847 Rama Raju GA, Shashi Kumari G, Krishna KM, Prakash GJ, Madan K (2006) Assessment of uterine cavity by hysteroscopy in assisted reproduction programme and its influence on pregnancy outcome. Arch Gynecol Obstet 274:160–164 Reyftmann L, Dechanet C, Amar-Hoffet A, Flandrin A, Hedon B, Dechaud H (2009) Surgery for infertility. J Gynecol Obstet Biol Reprod (Paris) 38(1–2):F35–F42 Schenker JG, Margalioth EJ (1982) Intrauterine adhesions: an updated appraisal. Fertil Steril 37:593–610 Serocki G, Hanss R, Bauer M, Scholz J, Bein B (2009) The gynecological TURP syndrome. Severe hyponatremia and pulmonary edema during hysteroscopy. Anaesthesist 58:30–34 Stein IF, Leventhal M (1935) Amenorrhea associated with polycystic ovaries. Am J Obstet Gynecol 29:181–191. Toth B, Tempfer C, Bohlmann MK, Hancke K, Nawroth F, Schleußner E, Rogenhofer N, Rudnik-Schöneborn S, von Otte S, von Wolff M, Wischmann T, Würfel W, Zschocke J (2018) Diagnostik und Therapie beim wiederholten Spontanabort; AWMF-Leitlinie 015/050 (S2k). Deutsche Gesellschaft für Gynäkologie und Geburtshilfe (DGGG). https://www.awmf.org/uploads/tx_szleitlinien/015-050l_S2k_Spontanabort_Diagnostik_Therapie_2018-07_01.pdf. Zugegriffen am 06.07.2018 Wallwiener D, Jonat W, Kreienberg R, Friese K, Diedrich K, Beckmann M (2009) Atlas der Gynäkologischen Operationen, 7. Aufl. Thieme, Stuttgart/New York Wang CJ, Mu WC, Yuen LT, Yen CF, Soong YK, Lee CL (2007) Flexible outpatient hysterofibroscopy without anesthesia: a feasible and valid procedure. Chang Gung Med J 30:256–262 Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2018 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature About this entry Cite this entry Höllen, F., Bohlmann, M. (2018). Endoskopische Techniken in der Reproduktionsmedizin. In: Diedrich, K., Ludwig, M., Griesinger, G. (eds) Reproduktionsmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55601-6_18-1 Download citation DOI: https://doi.org/10.1007/978-3-662-55601-6_18-1 Received: Accepted: Published: Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-662-55601-6 Online ISBN: 978-3-662-55601-6 eBook Packages: Living Reference Medizin

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