Wann und wie großzügig diagnostische Laparoskopie?

Zusammenfassung

Die Laparoskopie nimmt eine zentrale Stellung in der Diagnostik und Therapie der Endometriose ein. Die vorliegende Arbeit soll einen Beitrag zur Klärung leisten, wann der Eingriff indiziert ist. Dazu werden die einschlägigen Leitlinien sowie Überlegungen zur Inzidenz und Pathogenese, zu diagnostischen und therapeutischen Alternativen vorgestellt und ein Algorithmus für die klinische Praxis entwickelt.

Abstract

Laparoscopy holds a key role in daignosing and treating endometriosis. The present paper aims at clarifying the correct indication for this procedure. To this end, relevant guidelines as well as considerations regarding incidence, pathogenesis as well as diagnostic and therapeutic alternatives are presented. An algorithm for clinical practice is presented.

Schlüsselwörter

Endometriose - Laparoskopie - diagnostischer Algorithmus

Key words

Endometriosis - laparoscopy - diagnostic algorithm

Literatur

• 1 Abbott J A, Hawe J, Clayton R D, Garry R. The effects and effectiveness of laparoscopic excision of endometriosis: a prospective study with 2-5 year follow-up.  Hum Reprod. 2003;  18 1922-1927
• 2 Bedaiwy M A, Falcone T. Laboratory testing for endometriosis.  Clin Chim Acta. 2004;  340 41-56
• 3 Ballweg M L. The Endometriosis Sourcebook. Contemporary Books, Chicago 1995
• 4 Capelo F O, Kumar A, Steinkampf M P, Azziz R. Laparoscopic evaluation following failure to achieve pregnancy after ovulation induction with clomiphene citrate.  Fertil Steril. 2003;  80 1450-1453
• 5 Clinical Green Top Guidelines. The Investigation and Management of Endometriosis.  www.rcog.org.uk
• 6 Dmowski W P, Lesniewicz R, Rana N, Pepping P, Noursalehi M. Changing trends in the diagnosis of endometriosis: a comparative study of women with pelvic endometriosis presenting with chronic pelvic pain or infertility.  Fertil Steril. 1997;  67 238-243
• 7 Evers J L. The second-look laparoscopy for evaluation of the result of medical treatment of endometriosis should not be performed during ovarian suppression.  Fertil Steril. 1987;  47 502-504
• 8 Hadfield R, Mardon H, Barlow D, Kennedy S. Delay in the diagnosis of endometriosis: a survey of women from the USA and the UK.  Hum Reprod. 1996;  11 878-880
• 9 Harkki-Siren P, Sjoberg J, Kurki T. Major complications of laparoscopy: a follow-up Finnish study.  Obstet Gynecol. 1999;  94 94-98
• 10 Hornstein M D, Gleason R E, Orav J, Haas S T, Friedman A J, Rein M S, Hill J A, Barbieri R L. The reproducibility of the revised American Fertility Society classification of endometriosis.  Fertil Steril. 1993;  59 1015-1021
• 11 Jacobson T Z, Barlow D H, Koninckx P R, Olive D, Farquhar C. Laparoscopic surgery for subfertility associated with endometriosis (Cochrane Review). In: The Cochrane Library, Ausg. 1. John Wiley & Sons Ltd., Chichester 2005
• 12 Moen M H, Muus K M. Endometriosis in pregnant and non-pregnant women at tubal sterilization.  Hum Reprod. 1991;  6 699-702
• 13 Moore J, Copley S, Morris J, Lindsell D, Golding S, Kennedy S. A systematic review of the accuracy of ultrasound in the diagnosis of endometriosis.  Ultrasound Obstet Gynecol. 2002;  20 630-634
• 14 Neis K J. AG Gynäkologische Endoskopie; AGO; DGGG . Leitlinie zur laparoskopischen Operation von Ovarialtumoren.  Frauenarzt. 2004;  45 681-687
• 15 Pagidas K, Falcone T, Hemmings R, Miron P. Comparison of reoperation for moderate (stage III) and severe (stage IV) endometriosis-related infertility with in vitro fertilization-embryo transfer.  Fertil Steril. 1996;  65 791-795
• 16 Sillem M, Teichmann A T. Patientinnenzentrierte Aspekte der Endometriose.  Gynäkologe. 2003;  36 41-52
• 17 Sutton C JG, Pooley S, Ewen S P, Haines P. Follow-up report on a randomized controlled trial of laser laparoscopy in the treatment of pelvic pain associated with mild to moderate endometriosis.  Fertil Steril. 1997;  68 1070-1074
• 18 Stratton P, Winkel C, Premkumar A, Chow C, Wilson J, Hearns-Stokes R, Heo S, Merino M, Nieman L K. Diagnostic accuracy of laparoscopy, magnetic resonance imaging, and histopathologic examination for the detection of endometriosis.  Fertil Steril. 2003;  79 1078-1085
• 19 The Norwegian Society of Gynecology and Obstetrics .Clinical Guidelines in General Gynecology 1997. The Norwegian Medical Association, Lysaker 1997
• 20 Ulrich U. AG Gynäkologische Endoskopie der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe; Stiftung Endometrioseforschung .Empfehlungen zur Diagnostik und Therapie der Endometriose. Zur Publikation eingereicht
• 21 Vercellini P, Crosignani P G. Epidemiology of endometriosis. In: Brosens I, Donnez J. The current status of endometriosis - research and management. Parthenon, Carnforth, Pearl River 1992
• 22 Witz C A, Burns W N. Endometriosis and infertility: is there a cause and effect relationship?.  Gynecol Obstet Invest. 2002;  53 (Suppl 1) 2-11