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CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2023; 83(01): 79-87
DOI: 10.1055/a-1799-2658
DOI: 10.1055/a-1799-2658
GebFra Science
Review
Operative Therapie der tief infiltrierenden Endometriose
Article in several languages: English | deutsch
Zusammenfassung
Bei der tief infiltrierenden Endometriose (TIE) dringen endometriumartige Zellverbände mehr als 5 mm subperitoneal ein: In den betroffenen Organen und Gewebestrukturen kann es dabei zu einer Alteration der Anatomie mit aufgehobenen Organgrenzen kommen, was die operative Therapie im Einzelfall selbst für den Geübten zur Herausforderung werden lässt. Für eine umfassende Beschreibung der unterschiedlichen Manifestationen der Erkrankung liegt aktuell die #Enzian-Klassifikation vor. Da die Operation meistens die Grundlage einer erfolgreichen Behandlung der TIE ist, sind eine überzeugende Indikation, eine angemessene präoperative Vorbereitung, vor allem aber eine entsprechende Erfahrung des operativen Teams entscheidend für den Erfolg. In diesem Artikel soll eine Übersicht über die derzeitigen operativen Möglichkeiten gegeben werden.
Schlüsselwörter
Endometriose - tief infiltrierende Endometriose - #Enzian - Laparoskopie - UltraschallPublication History
Received: 10 July 2022
Accepted after revision: 08 November 2022
Article published online:
11 January 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
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