Die chlrurglsche Therapie cler moderated und cler schweren Endometriose

O. Buchweitz, Eduard Malik
In: Gynäkologische Endoskopie · 2002 · pp. 91–106 · doi:10.1007/978-3-642-57440-5_5 · W200868495
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Endoscopic surgery improves conservative organ-preserving treatment of endometriosis, with laparoscopy being the preferred approach for minimal, mild, and moderate forms, though options for severe cases remain debated.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

The paper reviews surgical access routes for treating moderate and severe endometriosis, focusing on how endoscopic (laparoscopic) surgery fits with disease extent such as minimal/mild lesions, moderate disease with limited adhesions or unilateral endometrioma, and severe cases with features like complete obliteration of the Douglas space, parametrial infiltration, involvement of the posterior vaginal wall, or bilateral large endometriomas with extensive adhesions. It states that laparoscopy is the preferred approach for minimal and mild endometriosis and is well suited for many moderate forms, while there is no consensus on the optimal approach for severe disease. For the most extensive forms described, both laparoscopy and laparotomy are considered acceptable. This paper is centrally about endometriosis — it discusses surgical therapy and the choice between laparoscopic versus laparotomic approaches across moderate and severe endometriosis presentations.

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Abstract

Die endoskopische Chirurgie hat zweifelsohne zu einer deutlichen Verbesserung der konservativen organerhaltenden Therapie der Endometriose geführt. Insbesondere bei der minimalen und milden Endometriose ist die Laparoskopie der Zugangsweg der Wahl. Auch moderate For-men der Endometriose mit einem einseitigem Endometriom oder mit begrenzten Verwachsungen sind der laparoskopischen Therapie gut zugänglich. Es besteht jedoch keine Einigkeit bezüglich des optimalen operativen Zugangsweges bei schweren Formen der Endometriose [, ]. Im Falle einer kompletten Obliteration des Douglasraumes, einer parametranen Infiltration bzw. eines übergreifens der Endometriose auf das hintere Scheidengewolbe oder bei bilateralen großen Endometriomen mit ausgedehnten Verwachsungen ist sowohl eine Laparoskopie als auch eine Laparotomie vertretbar.

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die_deep_infiltrating

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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.

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last seen: 2026-06-10T17:14:06.276822+00:00
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