Operatives Management einer Endometriose – eine Übersicht

Carsten Boing, Carsten Böing, Rainer Kimmig
Gynakologisch-geburtshilfliche Rundschau · 2007 · vol. 47(3) , pp. 124–131 · doi:10.1159/000102574 · PMID:17641475 · W2038095755
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⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

Laparoscopic surgery, including resection or ablation of peritoneal endometriosis and removal of endometriomas, is the preferred treatment for endometriosis, improving pain and fertility, especially in early stages or with complete removal.

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Abstract

Laparoscopy is the treatment of choice in the diagnostics of endometriosis. Surgical management of early-stage endometriosis at the time of diagnosis is to be aimed at. Resection of peritoneal endometriosis is essential; coagulation/ablation may be an alternative. In the early stages, pain reduction is as effective as by drug therapy. Surgery improves fertility in these stages. Complete removal of an endometrioma lowers the recurrence rate and improves fertility. In cases of definitive surgical therapy, i.e. hysterectomy and adnexectomy, any accompanying endometriosis focuses have to be carefully resected. When clinically symptomatic, a deep endometriosis has to undergo radical surgery. In these cases, assisted reproduction is usually necessary when such a patient wants to become pregnant. The recurrence rate after complete surgical management of a serious endometriosis is lower compared to drug therapy; pain reduction is more effective. A postoperative drug therapy with GnRH analogues, danazole or gestagen does not improve fertility, the interval to a recurrence is however positively influenced. Hormonal replacement therapy after definitive surgical management has probably no influence on the recurrence rate.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Gynecologic Surgical Procedures Laparoscopy Endometriosis Female Gynecologic Surgical Procedures Humans Laparoscopy Practice Guidelines as Topic Practice Patterns, Physicians'

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (38)

Cited by (4)

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