Endometriose

In: Perioperative Gynäkologie · 1993 · pp. 195–199 · doi:10.1007/978-3-642-95694-2_25 · W4247816169
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Timing, surgical method, and extent are critical for preventing complications in operative endometriosis therapy, with patient factors influencing treatment choice.

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This Springer book chapter addresses surgical management of endometriosis, focusing on how choosing the timing relative to medical therapy, selecting the operative approach (e.g., laparoscopy with or without laser versus laparotomy), and determining extent of surgery (conservative versus radical) affect avoidance of operative complications. It frames these choices using patient and disease factors including age, family-planning status, symptom profile, lesion extent and location, contraindications, and associated pathology. The chapter is descriptive and does not present new primary study data, functioning instead as guidance synthesized from established concepts and prior literature. This paper is centrally about endometriosis — it specifically discusses perioperative surgical decision-making to prevent complications in operatively treated endometriosis.

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Zusammenfassung Zur Vermeidung von Komplikationen bei der operativen Therapie der Endometriose ist die Wahl des Zeitpunkts (vor oder nach medikamentöser Therapie), die operative Methode (pelviskopisch mit oder ohne Laser, Laparotomie) sowie die Ausdehnung des Eingriffs (konservativ oder radikal) entscheidend. Für die Wahl einer Therapiemethode sind Alter, Familienplanungssituation, Symptome, Ausdehnung und Lokalisation des Befalls, Kontraindikationen sowie assoziierte Pathologie ausschlaggebend. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Preview Unable to display preview. Download preview PDF. Similar content being viewed by others Literatur The American Fertihty Society (1979) Classification of endometriosis. Fértil Steril 32:633 Brosens IA, Boeckx W, Page G (1988) Microsurgery of ovarian endometriosis. Hum Reprod 3:365–366 Brunson GL, Barclay DL, Landers M, Aroaz CA (1988) Mahgnant extraovarían endometriosis: two case reports and review of the hterature. Gynecol Oncol 30:123–130 Candiani GB, Fedel L, Vercelhni P, Bianchi S, Di Nola G (1991) Repetitive conservative surgery for recurrence of endometriosis. Obstet Gynecol 77:421–424 Candiani GB, Fedel L, Vercellini P (1989) Laparotomy versus laparoscopy in the surgical treatment of endometriosis: the end of an era? Acta Eur Fértil 20:163–166 Cheng YS (1976) Ureteral injury resulting from laparoscopic fulguration of endometriotic implant (letter). Am J Obstet Gynecol 126:1045–1046 Chong AP, Keene ME, Thornton NL (1990) Comparison of three modes of treatment for infertility patients with minimal pelvic endometriosis. Fértil Steril 53: 407–410 Collin GR, Rüssel JC (1990) Endometríosis of the colon. Its diagnosis and management. Am Surg 56:275–279 Corson SL, Woodland M, Frishman G, Batzer FR, Gocial B, Maislin G (1989) Treatment of endometriosis with a Nd: YAG tissue-contact laser probe via laparoscopy. Int J Fértil 34:284–288 Daniell JF, Miller W, Tosh R (1986) Initial evaluation of the use of the potassium-titanyl phosphate (KTP/532) laser in gynecologic laparoscopy. Fértil Steril 46:373–377 Daniell JF, Kurtz BR, Gurley LD (1991) Laser laparoscopic management of large endometriomas. Fértil Steril 55:692–695 Davis GD (1986) Management of endometriosis and its associated adhesions with the CO2 laser laparoscope. Obstet Gynecol 68:422–425 Donnez J, Nisolle-Pochet M, Casanas-Roux F (1990) Endometriosis-associated infertility: evaluation of preoperative use of danazol, gestrinone, and buserelin. Int J Fértil 35:297–301 Gomel V (1989) Operative laparoscopy: time for acceptance. Fértil Steril 52:1–11 Gomel V, James C (1991) Intraoperative management of ureteral injury during operative laparoscopy. Fértil Steril 55:416–419 Grainger DA, Soderstrom RM, Schiff SF, Glickman MG, De Cherney AH, Diamond MP (1990) Ureteral injuries at laparoscopy: insights into diagnosis, management, and prevention. Obstet Gynecol 75:839–843 Hepp H, Schüssler B (1985) Endometriose und Steríhtát. In: Litschgi M. (Hrsg) Genitalendometríose. Karger, Basel, S 39–47 Hohl MK (1985) Sterilitätsoperationen bei Endometriose. In: Litschgi M (Hrsg) Genitalendometriose. Karger, Basel, S 76–86 Käser O, Herbst S (1985) Operative Behandlung der Endometriose. In: Litschgi M (Hrsg) Genitalendometriose. Karger, Basel, S 61–65 Kettel LM, Murphy AA (1989) Combination medical and surgical therapy for infertile patients with endometriosis. Obstet Gynecol Clin North Am 16:167–177 Keye WR Jr, Hansen LW, Astin M, Poulson AM Jr (1987) Argon laser therapy of endometriosis: a review of 92 consecutive patients. Fértil Steril 47:208–212 Litschgi M (1985) Stadieneinteilung der Endometriose. In: Litschgi M (Hrsg) Genitalendometriose. Karger, Basel, S 25–30 Ludwig H (1985) Medikamentöse Behandlung der Endometriose. In: Litschgi M (Hrsg) Genitalendometriose. Karger, Basel, S 48–60 Mahmood TA, Templeton A (1990) The impact of treatment on the natural history of endometríosis. Hum Reprod 5:965–970 Mettler L (1985) Dreistufentherapie der Endometriose. In: Litschgi M (Hrsg) Genitalendometriose. Karger, Basel, S 66–75 Murphy AA, Schlaff WD, Hassaikos D, Durmusoglu F, Damewood MD, Rock JA (1991) Laparoscopic cautery in the treatment of endometriosis-related infertility. Fértil Steril 55:246–251 Nisolle M, Clerchx F, Casanas-Roux F, Gillerot S, Bourgonjon D, Donnez J (1990) Traitement de l’endometriose. Evaluation de l’utihsation préopératoire du danazol, de la gestrinone et de la busereline (spray nasal et implant). J Gynecol Obstet Biol Reprod (Paris) 19:759–763 Nowroozi K, Chase JS, Check JH, Wu CH (1987) The importance of laparoscopic coagulation of mild endometriosis in infertile women. Int J Fértil 32:442–444 Olive DL, Martin DC (1987) Treatment of endometriosis-associated infertility with CO 2 laser laparoscopy: the use of one-and two-parameter exponential models. Fértil Steril 48:18–23 Reimnitz C, Brand E, Nieberg RK, Hacker NF (1988) Malignancy arising in endometriosis associated with unopposed estrogen replacement. Obstet Gynecol 71:444–447 Ronnberg L (1990) Endometriosis and infertility. Ann Med 22:91–96 Salamalekis E, Vasiliadis TX, Kairi P, Zourlas PA (1990) Perineal endometriosis. Int J Gynaecol Obstet 31:75–80 Schreiner WE (1985) Gefahren und Komplikationen der Endometriose. In: Litschgi M (Hrsg) Genitalendometriose. Karger, Basel, S 87–104 Shirk GJ (1989) Use of the Nd: YAG laser for the treatment of endometriosis. Am J Obstet Gynecol 160:1344–1348 Sutton C, Hill D (1990) Laser laparoscopy in the treatment of endometriosis. A 5-year study. Br J Obstet Gynaecol 97:181–185 Weed JC, Ray JE (1987) Endometriosis of the bowel. Obstet Gynecol 69:727–730 Williams TJ (1975) Urologic injuries. Obstet Gynecol Annu 4:347–368 Author information Authors and Affiliations Rights and permissions Copyright information © 1993 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Hochuli, E. (1993). Endometriose. In: Perioperative Gynäkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-95694-2_25 Download citation DOI: https://doi.org/10.1007/978-3-642-95694-2_25 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-95695-9 Online ISBN: 978-3-642-95694-2 eBook Packages: Springer Book Archive

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