Die chlrurglsche Therapie cler moderated und cler schweren Endometriose

Zusammenfassung 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 [7, 16]. 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. Preview Unable to display preview. Download preview PDF. 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