Skip to main content
main-content
Erschienen in: Der Gynäkologe 10/2020

21.08.2020 | Endometriose | Leitthema

Operative Therapie der Endometriose und ihre Risiken

verfasst von: Dr. med. Sebastian D. Schäfer

Erschienen in: Der Gynäkologe | Ausgabe 10/2020

Einloggen, um Zugang zu erhalten

Zusammenfassung

Die operative Therapie stellt eine der Hauptsäulen der Endometriosebehandlung dar. Operationen werden insbesondere bei Schmerzen und Sterilität durchgeführt und führen zu Schmerzlinderung, teilweise auch zu erhöhter Fertilität. Erläutert wird die operative Therapie bei Adenomyosis, peritonealer Endometriose, tief infiltrierender Endometriose und ovarieller Endometriose. Dabei werden die Effekte der Operation auf Schmerzen und Fertilität sowie Rezidive und Risiken diskutiert. Bei Adenomyosis kommen organerhaltende Verfahren und die Hysterektomie zum Einsatz. Bei peritonealer Endometriose wird die Komplettresektion angestrebt, bei tief infiltrierender Endometriose symptomorientierte Komplettresektion. Hierfür kommen zum Teil hochkomplexe Eingriffe mit erhöhtem Komplikationspotenzial zum Einsatz. Bei der ovariellen Endometriose wird die komplette Zystektomie angestrebt. Dabei sind ovarielle Funktion und Kinderwunsch zusätzlich zu beachten. Endometrioseoperationen sind zumindest kurz- bis mittelfristig effektiv hinsichtlich von Schmerzsymptomen. Sie erhöhen die Wahrscheinlichkeit einer Spontankonzeption. Ihre Rolle im Rahmen der assistierten Reproduktion ist noch unklar. Die Indikationsstellung zur Operation sollte daher stets individuell erfolgen. Die Behandlung sollte insbesondere bei tief infiltrierender Endometriose in spezialisierten Zentren erfolgen.
Zugang erhalten Sie mit:
e.Med Interdisziplinär

Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Weitere Produktempfehlungen anzeigen
Literatur
2.
Zurück zum Zitat Osada H (2018) Uterine adenomyosis and adenomyoma: the surgical approach. Fertility Steril 109(3):406–417 Osada H (2018) Uterine adenomyosis and adenomyoma: the surgical approach. Fertility Steril 109(3):406–417
3.
Zurück zum Zitat Neis KJ, Zubke W, Römer T, Schwerdtfeger K, Schollmeyer T, Rimbach S, Holthaus B, Solomayer E, Bojahr B, Neis F, Reisenauer C, Gabriel B, Dieterich H, Runnebaum IH, Kleine W, Strauss A, Menton M, Mylonas I, David M, Horn LC, Schmidt D, Gaß P, Teichmann AT, Brandner P, Stummvoll W, Kuhn A, Müller M, Fehr M, Tamussino K (2016) Indications and route of hysterectomy for benign diseases. Guideline of the DGGG, OEGGG, SGGG (S3 level, AWMF registry No 015/070, April 2015) (2016). Geburtshilfe Frauenheilkd 76(4):350–364 PubMedPubMedCentral Neis KJ, Zubke W, Römer T, Schwerdtfeger K, Schollmeyer T, Rimbach S, Holthaus B, Solomayer E, Bojahr B, Neis F, Reisenauer C, Gabriel B, Dieterich H, Runnebaum IH, Kleine W, Strauss A, Menton M, Mylonas I, David M, Horn LC, Schmidt D, Gaß P, Teichmann AT, Brandner P, Stummvoll W, Kuhn A, Müller M, Fehr M, Tamussino K (2016) Indications and route of hysterectomy for benign diseases. Guideline of the DGGG, OEGGG, SGGG (S3 level, AWMF registry No 015/070, April 2015) (2016). Geburtshilfe Frauenheilkd 76(4):350–364 PubMedPubMedCentral
4.
Zurück zum Zitat Chapron C, Tosti C, Marcellin M, Bourdon M, Lafay-Pillet MC, Millischer AE, Streuli I, Borghese B, Petraglia F, Santulli P (2017) Relationship between the magnetic resonance imaging appearance of adenomyosis and endometriosis phenotypes. Hum Reprod 32(7):1393–1401 PubMed Chapron C, Tosti C, Marcellin M, Bourdon M, Lafay-Pillet MC, Millischer AE, Streuli I, Borghese B, Petraglia F, Santulli P (2017) Relationship between the magnetic resonance imaging appearance of adenomyosis and endometriosis phenotypes. Hum Reprod 32(7):1393–1401 PubMed
6.
Zurück zum Zitat Siedentopf F, Radnai D, Kentenich H (2015) Leitlinie Chronischer Unterbauchschmerz der Frau. S2k Niveau, AWMF Register Nr. 016/001 Siedentopf F, Radnai D, Kentenich H (2015) Leitlinie Chronischer Unterbauchschmerz der Frau. S2k Niveau, AWMF Register Nr. 016/001
7.
Zurück zum Zitat Li JJ, Chung JPW, Wang S, Li T‑C, Duan H (2018) The investigation and management of adenomyosis in women who wish to improve or preserve fertility. Biomed Res Int 2018:6832685 PubMedPubMedCentral Li JJ, Chung JPW, Wang S, Li T‑C, Duan H (2018) The investigation and management of adenomyosis in women who wish to improve or preserve fertility. Biomed Res Int 2018:6832685 PubMedPubMedCentral
8.
Zurück zum Zitat Riley KA, Benton AS, Deimling TA, Kunselman AR, Harkins GJ (2019) Surgical excision versus ablation for superficial endometriosis-associated pain: a randomized controlled trial. J Minim Invasive Gynecol 26:71–77 PubMed Riley KA, Benton AS, Deimling TA, Kunselman AR, Harkins GJ (2019) Surgical excision versus ablation for superficial endometriosis-associated pain: a randomized controlled trial. J Minim Invasive Gynecol 26:71–77 PubMed
9.
Zurück zum Zitat Knabben L, Imboden S, Fellmann B, Nirgianakis K, Kuhn A, Mueller MD (2015) Urinary tract endometriosis in patients with deep infiltrating endometriosis: prevalence, symptoms, management, and proposal for a new clinical classification. Fertil Steril 103(1):147–152 PubMed Knabben L, Imboden S, Fellmann B, Nirgianakis K, Kuhn A, Mueller MD (2015) Urinary tract endometriosis in patients with deep infiltrating endometriosis: prevalence, symptoms, management, and proposal for a new clinical classification. Fertil Steril 103(1):147–152 PubMed
11.
Zurück zum Zitat Leone Roberti Maggiore U, Ferrero S, Candiani M, Somigliana E, Vigano’ P, Vercellini P (2017) Bladder endometriosis: a systematic review of pathogenesis, diagnosis, treatment, impact on fertility, and risk of malignant transformation. Eur Urol 71(5):790–807 PubMed Leone Roberti Maggiore U, Ferrero S, Candiani M, Somigliana E, Vigano’ P, Vercellini P (2017) Bladder endometriosis: a systematic review of pathogenesis, diagnosis, treatment, impact on fertility, and risk of malignant transformation. Eur Urol 71(5):790–807 PubMed
12.
Zurück zum Zitat Antonelli A, Simeone C, Zani D, Sacconi T, Minini G, Canossi E, Cosciani Cunico S (2006) Clinical aspects and surgical treatment of urinary tract endometriosis: our experience with 31 cases. Eur Urol 49(6):1093–1098 PubMed Antonelli A, Simeone C, Zani D, Sacconi T, Minini G, Canossi E, Cosciani Cunico S (2006) Clinical aspects and surgical treatment of urinary tract endometriosis: our experience with 31 cases. Eur Urol 49(6):1093–1098 PubMed
13.
Zurück zum Zitat Perez MPU, Bazan AA, Dorrego JMA, Hernandez A, de Francisco MG, Hernandez MM, de Santiago J, de la Pena BJ (2009) Urinary tract endometriosis: clinical diagnostic and therapeutic aspects. Urology 73(1):47–51 Perez MPU, Bazan AA, Dorrego JMA, Hernandez A, de Francisco MG, Hernandez MM, de Santiago J, de la Pena BJ (2009) Urinary tract endometriosis: clinical diagnostic and therapeutic aspects. Urology 73(1):47–51
14.
Zurück zum Zitat Fuentes Pastor J, Ballestero DR, Correas Gomez MA, Torres Dıez E, Fernandez Florez A, Ballesteros Olmos G, Gutierrez Banos JL (2014) Bladder endometriosis and endocervicosis: presentation of 2 cases with endoscopic management and review of literature. Case Rep Urol 2014(4):296908–296914 PubMedPubMedCentral Fuentes Pastor J, Ballestero DR, Correas Gomez MA, Torres Dıez E, Fernandez Florez A, Ballesteros Olmos G, Gutierrez Banos JL (2014) Bladder endometriosis and endocervicosis: presentation of 2 cases with endoscopic management and review of literature. Case Rep Urol 2014(4):296908–296914 PubMedPubMedCentral
15.
Zurück zum Zitat Kumar S, Tiwari P, Sharma P, Goel A, Singh J, Vijay M, Gupta S, Bera MK, Kundu AK (2012) Urinary tract endometriosis: Review of 19 cases. Urol Ann 4(1):6–8 PubMedPubMedCentral Kumar S, Tiwari P, Sharma P, Goel A, Singh J, Vijay M, Gupta S, Bera MK, Kundu AK (2012) Urinary tract endometriosis: Review of 19 cases. Urol Ann 4(1):6–8 PubMedPubMedCentral
16.
Zurück zum Zitat Barra F, Scala C, Biscaldi E, Vellone VG, Ceccaroni M, Terrone C, Ferrero S (2018) Ureteral endometriosis: a systematic review of epidemiology, pathogenesis, diagnosis, treatment, risk of malignant transformation and fertility. Hum Reprod Update 24(6):710–730 PubMed Barra F, Scala C, Biscaldi E, Vellone VG, Ceccaroni M, Terrone C, Ferrero S (2018) Ureteral endometriosis: a systematic review of epidemiology, pathogenesis, diagnosis, treatment, risk of malignant transformation and fertility. Hum Reprod Update 24(6):710–730 PubMed
17.
Zurück zum Zitat Mereu L, Gagliardi ML, Clarizia R, Mainardi P, Landi S, Minelli L (2010) Laparoscopic management of ureteral endometriosis in case of moderate-severe hydroureteronephrosis. Fertil Steril 93:46–51 PubMed Mereu L, Gagliardi ML, Clarizia R, Mainardi P, Landi S, Minelli L (2010) Laparoscopic management of ureteral endometriosis in case of moderate-severe hydroureteronephrosis. Fertil Steril 93:46–51 PubMed
19.
Zurück zum Zitat Berlanda N, Vercellini P, Carmignani L, Aimi G, Amicarelli F, Fedele L (2009) Ureteral and vesical endometriosis. Two different clinical entities sharing the same pathogenesis. Obstet Gynecol Surv 64:830–838 PubMed Berlanda N, Vercellini P, Carmignani L, Aimi G, Amicarelli F, Fedele L (2009) Ureteral and vesical endometriosis. Two different clinical entities sharing the same pathogenesis. Obstet Gynecol Surv 64:830–838 PubMed
23.
Zurück zum Zitat Chopin N, Vieira M, Borghese B, Foulot H, Dousset B, Coste J, Mignon A, Fauconnier A, Chapron C (2005) Operative management of deeply infiltrating endometriosis: results on pelvic pain symptoms according to a surgical classification. J Minim Invasive Gynecol 12(2):106–112 PubMed Chopin N, Vieira M, Borghese B, Foulot H, Dousset B, Coste J, Mignon A, Fauconnier A, Chapron C (2005) Operative management of deeply infiltrating endometriosis: results on pelvic pain symptoms according to a surgical classification. J Minim Invasive Gynecol 12(2):106–112 PubMed
24.
Zurück zum Zitat Ford J, English J, Miles WA, Giannopoulos T (2004) Pain, quality of life and complications following the radical resection of rectovaginal endometriosis. BJOG 111(4):353–356 PubMed Ford J, English J, Miles WA, Giannopoulos T (2004) Pain, quality of life and complications following the radical resection of rectovaginal endometriosis. BJOG 111(4):353–356 PubMed
25.
Zurück zum Zitat Keckstein J, Ulrich U, Kandolf O, Wiesinger H, Wustlich M (2003) Laparoscopic therapy of intestinal endometriosis and the ranking of drug treatment. Zentralbl Gynakol 125(7–8):259–266 PubMed Keckstein J, Ulrich U, Kandolf O, Wiesinger H, Wustlich M (2003) Laparoscopic therapy of intestinal endometriosis and the ranking of drug treatment. Zentralbl Gynakol 125(7–8):259–266 PubMed
26.
Zurück zum Zitat Minelli L, Fanfani F, Fagotti A, Ruffo G, Ceccaroni M, Mereu L, Landi S, Pomini P, Scambia G (2009) Laparoscopic colorectal resection for bowel endometriosis: feasibility, complications, and clinical outcome. Arch Surg 144(3):234–239 (discussion 239) PubMed Minelli L, Fanfani F, Fagotti A, Ruffo G, Ceccaroni M, Mereu L, Landi S, Pomini P, Scambia G (2009) Laparoscopic colorectal resection for bowel endometriosis: feasibility, complications, and clinical outcome. Arch Surg 144(3):234–239 (discussion 239) PubMed
27.
Zurück zum Zitat Possover M, Diebolder H, Plaul K, Schneider A (2000) Laparascopically assisted vaginal resection of rectovaginal endometriosis. Obstet Gynecol 96(2):304–307 PubMed Possover M, Diebolder H, Plaul K, Schneider A (2000) Laparascopically assisted vaginal resection of rectovaginal endometriosis. Obstet Gynecol 96(2):304–307 PubMed
28.
Zurück zum Zitat Meuleman C, Tomassetti C, D’Hooghe TM (2012) Clinical outcome after laparoscopic radical excision of endometriosis and laparoscopic segmental bowel resection. Curr Opin Obstet Gynecol 24(4):245–252 PubMed Meuleman C, Tomassetti C, D’Hooghe TM (2012) Clinical outcome after laparoscopic radical excision of endometriosis and laparoscopic segmental bowel resection. Curr Opin Obstet Gynecol 24(4):245–252 PubMed
29.
Zurück zum Zitat Darai E, Dubernard G, Coutant C, Frey C, Rouzier R, Ballester M (2010) Randomized trial of laparoscopically assisted versus open colorectal resection for endometriosis: morbidity, symptoms, quality of life, and fertility. Ann Surg 251(6):1018–1023 PubMed Darai E, Dubernard G, Coutant C, Frey C, Rouzier R, Ballester M (2010) Randomized trial of laparoscopically assisted versus open colorectal resection for endometriosis: morbidity, symptoms, quality of life, and fertility. Ann Surg 251(6):1018–1023 PubMed
30.
Zurück zum Zitat Touboul C, Ballester M, Dubernard G, Zilberman S, Thomin A, Darai E (2015) Long- term symptoms, quality of life, and fertility after colorectal resection for endometriosis: extended analysis of a randomized controlled trial comparing laparoscopically assisted to open surgery. Surg Endosc 29(7):1879–1887 PubMed Touboul C, Ballester M, Dubernard G, Zilberman S, Thomin A, Darai E (2015) Long- term symptoms, quality of life, and fertility after colorectal resection for endometriosis: extended analysis of a randomized controlled trial comparing laparoscopically assisted to open surgery. Surg Endosc 29(7):1879–1887 PubMed
31.
Zurück zum Zitat Meuleman C, Tomassetti C, Wolthuis A, Van Cleynenbreugel B, Laenen A, Penninckx F, Vergote I, D’Hoore A, D’Hooge T (2014) Clinical outcome after radical excision of moderate-severe endometriosis with or without bowel resection and reanastomosis: a pro-spective cohort study. Ann Surg 259(3):522–531 PubMed Meuleman C, Tomassetti C, Wolthuis A, Van Cleynenbreugel B, Laenen A, Penninckx F, Vergote I, D’Hoore A, D’Hooge T (2014) Clinical outcome after radical excision of moderate-severe endometriosis with or without bowel resection and reanastomosis: a pro-spective cohort study. Ann Surg 259(3):522–531 PubMed
32.
Zurück zum Zitat Roman H, Abo C, Huet E, Bridoux V, Auber M, Oden S, Marpeau L, Tuech JJ ( (2015) Full-thickness disc excision in deep endometriotic nodules of the rectum: a prospective cohort. Dis Colon Rectum 58(10):957–966 Roman H, Abo C, Huet E, Bridoux V, Auber M, Oden S, Marpeau L, Tuech JJ ( (2015) Full-thickness disc excision in deep endometriotic nodules of the rectum: a prospective cohort. Dis Colon Rectum 58(10):957–966
33.
Zurück zum Zitat Daraı E, Lesieur B, Dubernard G, Rouzier R, Bazot M, Ballester M (2011) Fertility after colorectal resection for endometriosis: results of a prospective study comparing laparoscopy with open surgery. Fertil Steril 95(6):1903–1908 PubMed Daraı E, Lesieur B, Dubernard G, Rouzier R, Bazot M, Ballester M (2011) Fertility after colorectal resection for endometriosis: results of a prospective study comparing laparoscopy with open surgery. Fertil Steril 95(6):1903–1908 PubMed
34.
Zurück zum Zitat Vercellini P, Consonni D, Dridi D, Bracco B, Frattaruolo MP, Somigliana E (2014) Uterine adenomyosis and in vitro fertilization outcome: a systematic review and metaanalysis. Hum Reprod 29(5):964–977 PubMed Vercellini P, Consonni D, Dridi D, Bracco B, Frattaruolo MP, Somigliana E (2014) Uterine adenomyosis and in vitro fertilization outcome: a systematic review and metaanalysis. Hum Reprod 29(5):964–977 PubMed
35.
Zurück zum Zitat De Cicco C, Corona R, Schonman R, Mailova K, Ussia A, Koninckx P (2011) Bowel resection for deep endometriosis: a systematic review. BJOG 118(3):285–291 PubMed De Cicco C, Corona R, Schonman R, Mailova K, Ussia A, Koninckx P (2011) Bowel resection for deep endometriosis: a systematic review. BJOG 118(3):285–291 PubMed
36.
Zurück zum Zitat Meuleman C, Tomassetti C, D’Hoore A, Van Cleynenbreugel B, Penninckx F, Vergote I, D’Hooghe T (2011) Surgical treatment of deeply infiltrating endometriosis with colorectal involvement. Hum Reprod Update 17(3):311–326 PubMed Meuleman C, Tomassetti C, D’Hoore A, Van Cleynenbreugel B, Penninckx F, Vergote I, D’Hooghe T (2011) Surgical treatment of deeply infiltrating endometriosis with colorectal involvement. Hum Reprod Update 17(3):311–326 PubMed
37.
Zurück zum Zitat Kondo W, Bourdel N, Tamburro S, Cavoli D, Jardon K, Rabischong B, Botchorishvili R, Pouly J, Mage G, Canis M (2011) Complications after surgery for deeply infiltrating pelvic endometriosis. BJOG 118(3):292–298 PubMed Kondo W, Bourdel N, Tamburro S, Cavoli D, Jardon K, Rabischong B, Botchorishvili R, Pouly J, Mage G, Canis M (2011) Complications after surgery for deeply infiltrating pelvic endometriosis. BJOG 118(3):292–298 PubMed
38.
Zurück zum Zitat Pereira RM, Zanatta A, Preti CD, de Paula FJ, da Motta EL, Serafini PC (2009) Should the gynecologist perform laparoscopic bowel resection to treat endometriosis? Results over 7 years in 168 patients. J Minim Invasive Gynecol 16(4):472–479 PubMed Pereira RM, Zanatta A, Preti CD, de Paula FJ, da Motta EL, Serafini PC (2009) Should the gynecologist perform laparoscopic bowel resection to treat endometriosis? Results over 7 years in 168 patients. J Minim Invasive Gynecol 16(4):472–479 PubMed
39.
Zurück zum Zitat Roman H, Rozsnayi F, Puscasiu L, Resch B, Belhiba H, Lefebure B, Scotte M, Michot F, Marpeau L, Tuech JJ (2010) Complications associated with two laparoscopic procedures used in the management of rectal endometriosis. JSLS 14(2):169–177 PubMedPubMedCentral Roman H, Rozsnayi F, Puscasiu L, Resch B, Belhiba H, Lefebure B, Scotte M, Michot F, Marpeau L, Tuech JJ (2010) Complications associated with two laparoscopic procedures used in the management of rectal endometriosis. JSLS 14(2):169–177 PubMedPubMedCentral
40.
Zurück zum Zitat Lermann J, Topal N, Adler W, Hildebrandt T, Renner SP, Beckmann MW, Burghaus S (2018) Major and minor complications after resection without bowel resection for deeply infiltrating endometriosis. Arch Gynecol Obstet 298(5):991–999 PubMed Lermann J, Topal N, Adler W, Hildebrandt T, Renner SP, Beckmann MW, Burghaus S (2018) Major and minor complications after resection without bowel resection for deeply infiltrating endometriosis. Arch Gynecol Obstet 298(5):991–999 PubMed
41.
Zurück zum Zitat Afors K, Centini G, Fernandes R, Murtada R, Zupi E, Akladios C, Wattiez A (2016) Segmental and discoid resection are preferential to bowel shaving for medium-term symptomatic relief in patients with bowel endometriosis. J Minim Invasive Gynecol 23(7):1123–1129 PubMed Afors K, Centini G, Fernandes R, Murtada R, Zupi E, Akladios C, Wattiez A (2016) Segmental and discoid resection are preferential to bowel shaving for medium-term symptomatic relief in patients with bowel endometriosis. J Minim Invasive Gynecol 23(7):1123–1129 PubMed
42.
Zurück zum Zitat Roman H, Moatassim-Drissa S, Marty N, Milles M, Vallee A, Desnyder E, Stochino Loi E, Abo C (2016) Rectal shaving for deep endometriosis infiltrating the rectum: a 5-year continuous retrospective series. Fertil Steril 106(6):1438–1445.e2 PubMed Roman H, Moatassim-Drissa S, Marty N, Milles M, Vallee A, Desnyder E, Stochino Loi E, Abo C (2016) Rectal shaving for deep endometriosis infiltrating the rectum: a 5-year continuous retrospective series. Fertil Steril 106(6):1438–1445.e2 PubMed
43.
Zurück zum Zitat Roman H, FRIENDS group (French coloRectal Infiltrating ENDometriosis Study group) (2017) A national snapshot of the surgical management of deep infiltrating endometriosis of the rectum and colon in France in 2015: a multicenter series of 1135 cases. J Gynecol Obstet Hum Reprod 46(2):159–165 PubMed Roman H, FRIENDS group (French coloRectal Infiltrating ENDometriosis Study group) (2017) A national snapshot of the surgical management of deep infiltrating endometriosis of the rectum and colon in France in 2015: a multicenter series of 1135 cases. J Gynecol Obstet Hum Reprod 46(2):159–165 PubMed
44.
Zurück zum Zitat Mohr C, Nezhat FR, Nezhat CH, Seidman DS, Nezhat CR (2005) Fertility considerations in laparoscopic treatment of infiltrative bowel endometriosis. JSLS 9(1):16–24 PubMedPubMedCentral Mohr C, Nezhat FR, Nezhat CH, Seidman DS, Nezhat CR (2005) Fertility considerations in laparoscopic treatment of infiltrative bowel endometriosis. JSLS 9(1):16–24 PubMedPubMedCentral
45.
Zurück zum Zitat Abrao MS, Petraglia F, Falcone T, Keckstein J, Osuga Y, Chapron C (2015) Deep endometriosis infiltrating the recto-sigmoid: critical factors to consider before management. Hum Reprod Update 21(3):329–339 PubMed Abrao MS, Petraglia F, Falcone T, Keckstein J, Osuga Y, Chapron C (2015) Deep endometriosis infiltrating the recto-sigmoid: critical factors to consider before management. Hum Reprod Update 21(3):329–339 PubMed
46.
Zurück zum Zitat Armengol-Debeir L, Savoye G, Leroi AM, Gourcerol G, Savoye-Collet C, Tuech JJ, Vassilieff M, Roman H (2011) Pathophysiological approach to bowel dysfunction after segmental colorectal resection for deep endometriosis infiltrating the rectum: a preliminary study. Hum Reprod 26(9):2330–2335 PubMed Armengol-Debeir L, Savoye G, Leroi AM, Gourcerol G, Savoye-Collet C, Tuech JJ, Vassilieff M, Roman H (2011) Pathophysiological approach to bowel dysfunction after segmental colorectal resection for deep endometriosis infiltrating the rectum: a preliminary study. Hum Reprod 26(9):2330–2335 PubMed
47.
Zurück zum Zitat Ballester M, Chereau E, Dubernard G, Coutant C, Bazot M, Darai E (2011) Urinary dysfunction after colorectal resection for endometriosis: results of a prospective randomized trial comparing laparoscopy to open surgery. Am J Obstet Gynecol 204(4):303.e1–303.e6 Ballester M, Chereau E, Dubernard G, Coutant C, Bazot M, Darai E (2011) Urinary dysfunction after colorectal resection for endometriosis: results of a prospective randomized trial comparing laparoscopy to open surgery. Am J Obstet Gynecol 204(4):303.e1–303.e6
48.
Zurück zum Zitat Zilberman S, Ballester M, Touboul C, Chereau E, Sebe P, Bazot M, Darai E (2013) Partial colpectomy is a risk factor for urologic complications of colorectal resection for endometriosis. J Minim Invasive Gynecol 20(1):49–55 PubMed Zilberman S, Ballester M, Touboul C, Chereau E, Sebe P, Bazot M, Darai E (2013) Partial colpectomy is a risk factor for urologic complications of colorectal resection for endometriosis. J Minim Invasive Gynecol 20(1):49–55 PubMed
49.
Zurück zum Zitat Boesgaard-Kjer D, Kjer JJ (2017) Primary umbilical endometriosis (PUE). Eur J Obstet Gynecol Reprod Biol 209:44–45 PubMed Boesgaard-Kjer D, Kjer JJ (2017) Primary umbilical endometriosis (PUE). Eur J Obstet Gynecol Reprod Biol 209:44–45 PubMed
50.
Zurück zum Zitat Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M (2008) Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg 196(2):207–212 PubMed Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M (2008) Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg 196(2):207–212 PubMed
51.
Zurück zum Zitat Bektas H, Bilsel Y, Sari YS, Ersöz F, Koc O, Deniz M, Bortan B, Huq GE (2010) Abdominal wall endometrioma: a10-yearexperience and brief review of the literature. J Surg Res 164(1):e77–e81 PubMed Bektas H, Bilsel Y, Sari YS, Ersöz F, Koc O, Deniz M, Bortan B, Huq GE (2010) Abdominal wall endometrioma: a10-yearexperience and brief review of the literature. J Surg Res 164(1):e77–e81 PubMed
52.
Zurück zum Zitat Ding Y, Zhu J (2013) A retrospective review of abdominal wall endometriosis in Shanghai, China. Int J Gynaecol Obstet 121(1):41–44 PubMed Ding Y, Zhu J (2013) A retrospective review of abdominal wall endometriosis in Shanghai, China. Int J Gynaecol Obstet 121(1):41–44 PubMed
56.
Zurück zum Zitat Haga T, Kurihaga M, Katahoka H, Ebana H (2014) Clinical-pathological findings of catamenial pneumothorax: comparison between recurrent cases and non-recurrent cases. Ann Thorac Cardiovasc Surg 20(3):202–206 PubMed Haga T, Kurihaga M, Katahoka H, Ebana H (2014) Clinical-pathological findings of catamenial pneumothorax: comparison between recurrent cases and non-recurrent cases. Ann Thorac Cardiovasc Surg 20(3):202–206 PubMed
57.
Zurück zum Zitat Alifano M, Trisolini R, Cancellieri A, Regnard JF (2006) Thoracic endometriosis: current knowledge. Ann Thorac Surg 81(2):761–769 PubMed Alifano M, Trisolini R, Cancellieri A, Regnard JF (2006) Thoracic endometriosis: current knowledge. Ann Thorac Surg 81(2):761–769 PubMed
58.
Zurück zum Zitat Redwine DB (2002) Diaphragmatic endometriosis: diagnosis, surgical management, and long-term results of treatment. Fertil Steril 77(2):288–296 PubMed Redwine DB (2002) Diaphragmatic endometriosis: diagnosis, surgical management, and long-term results of treatment. Fertil Steril 77(2):288–296 PubMed
59.
Zurück zum Zitat Ceccaroni M, Roviglione G, Giampaolini P, Clarizia R, Bruni F, Ruffo G, Patrelli TS, De Placido G, Minelli L (2013) Laparoscopic surgical treatment of diaphragmatic endometriosis: a 7-year single-institution retrospective review. Surg Endosc 27(2):625–632 PubMed Ceccaroni M, Roviglione G, Giampaolini P, Clarizia R, Bruni F, Ruffo G, Patrelli TS, De Placido G, Minelli L (2013) Laparoscopic surgical treatment of diaphragmatic endometriosis: a 7-year single-institution retrospective review. Surg Endosc 27(2):625–632 PubMed
60.
Zurück zum Zitat Channabasavaiah AD, Joseph JV (2010) Thoracic endometriosis: revisiting the association between clinical presentation and thoracic pathology based on thoracoscopic findings in 110 patients. Medicine 89(3):183–188 PubMed Channabasavaiah AD, Joseph JV (2010) Thoracic endometriosis: revisiting the association between clinical presentation and thoracic pathology based on thoracoscopic findings in 110 patients. Medicine 89(3):183–188 PubMed
61.
Zurück zum Zitat Joseph J, Sahn SA (1996) Thoracic endometriosis syndrome: new observations from an analysis of 110 cases. Am J Med 100(2):164–170 PubMed Joseph J, Sahn SA (1996) Thoracic endometriosis syndrome: new observations from an analysis of 110 cases. Am J Med 100(2):164–170 PubMed
62.
Zurück zum Zitat Possover M, Schneider T, Henle KP (2011) Laparoscopic therapy for endometriosis and vascular entrapment of sacral plexus. Fertil Steril 95(2):756–758 PubMed Possover M, Schneider T, Henle KP (2011) Laparoscopic therapy for endometriosis and vascular entrapment of sacral plexus. Fertil Steril 95(2):756–758 PubMed
63.
Zurück zum Zitat Possover M (2009) Laparoscopic management of endopelvic etiologies of pudendal pain in 134 consecutive patients. J Urol 181(4):1732–1736 PubMed Possover M (2009) Laparoscopic management of endopelvic etiologies of pudendal pain in 134 consecutive patients. J Urol 181(4):1732–1736 PubMed
64.
Zurück zum Zitat Possover M, Chiantera V (2007) Isolated infiltrative endometriosis of the sciatic nerve: a report of three patients. Fertil Steril 87(2):417.e17–417.e19 Possover M, Chiantera V (2007) Isolated infiltrative endometriosis of the sciatic nerve: a report of three patients. Fertil Steril 87(2):417.e17–417.e19
65.
Zurück zum Zitat Ceccaroni M, Clarizia R, Alboni C, Ruffo G, Bruni F, Roviglione G, Scioscia M, Peters I, De Placido G, Minelli L (2010) Laparoscopic nerve-sparing transperitoneal approach for endometriosis infiltrating the pelvic wall and somatic nerves: anatomical considerations and surgical technique. Surg Radiol Anat 32(6):601–604 PubMed Ceccaroni M, Clarizia R, Alboni C, Ruffo G, Bruni F, Roviglione G, Scioscia M, Peters I, De Placido G, Minelli L (2010) Laparoscopic nerve-sparing transperitoneal approach for endometriosis infiltrating the pelvic wall and somatic nerves: anatomical considerations and surgical technique. Surg Radiol Anat 32(6):601–604 PubMed
67.
Zurück zum Zitat Iwase A, Nakamura T, Nakahara T, Goto M, Kikkawa F (2014) Assessment of ovarian reserve using anti-Müllerian hormone levels in benign gynecological conditions and surgical interventions: a systemativ narrative review. Reprod Biol Endocrinol 12:125 PubMedPubMedCentral Iwase A, Nakamura T, Nakahara T, Goto M, Kikkawa F (2014) Assessment of ovarian reserve using anti-Müllerian hormone levels in benign gynecological conditions and surgical interventions: a systemativ narrative review. Reprod Biol Endocrinol 12:125 PubMedPubMedCentral
68.
Zurück zum Zitat Moscarini M, Milazzo GM, Assorgi C, Pacchiarotti A, Caserta D (2014) Ovarian stripping versus cystectomy: recurrence of endometriosis and pregnancy rate. Arch Obstet Gynecol 290(1):163–167 Moscarini M, Milazzo GM, Assorgi C, Pacchiarotti A, Caserta D (2014) Ovarian stripping versus cystectomy: recurrence of endometriosis and pregnancy rate. Arch Obstet Gynecol 290(1):163–167
69.
Zurück zum Zitat Deckers P, Conti Ribeiro S, Dos Santos Simoes R, Bariao da Fonseca Miyahara C, Chada Baracat E (2017) Systematic review and metaanalysis of the effectof bipolar electrocoagulation during laparoscopic ovarian endometrioma stripping on ovarian reserve. Int J Gynecol Obstet 140(1):11–17 Deckers P, Conti Ribeiro S, Dos Santos Simoes R, Bariao da Fonseca Miyahara C, Chada Baracat E (2017) Systematic review and metaanalysis of the effectof bipolar electrocoagulation during laparoscopic ovarian endometrioma stripping on ovarian reserve. Int J Gynecol Obstet 140(1):11–17
71.
Zurück zum Zitat Brink Laursen J, Schroll JB, Macklon KT, Rudnicki M (2017) Surgery versus conservative management of endometriomas in subfertile women. A systematic review. Acta Obstet Gynecol Scand 96(6):727–735 PubMed Brink Laursen J, Schroll JB, Macklon KT, Rudnicki M (2017) Surgery versus conservative management of endometriomas in subfertile women. A systematic review. Acta Obstet Gynecol Scand 96(6):727–735 PubMed
72.
Zurück zum Zitat Tao X, Chen L, Ge S, Cai L (2017) Weigh the pros and cons to ovarian reserve before stripping ovarian endometriomas prior to IVF/ICSI: a meta analysis. PLoS ONE 12(6):e177426 PubMedPubMedCentral Tao X, Chen L, Ge S, Cai L (2017) Weigh the pros and cons to ovarian reserve before stripping ovarian endometriomas prior to IVF/ICSI: a meta analysis. PLoS ONE 12(6):e177426 PubMedPubMedCentral
73.
Zurück zum Zitat Kennedy S, Bergqvist A, Chapron C, D’Hooghe T, Dunselman G, Greb R, Hummelshoj L, Prentice A, Saridogan E, ESHRE special interest group for endometriosis and endometrium guideline development group (2005) ESHRE Guideline for the diagnosis and treatment of endometriosis. Hum Reprod 20(10):2698–2704 Kennedy S, Bergqvist A, Chapron C, D’Hooghe T, Dunselman G, Greb R, Hummelshoj L, Prentice A, Saridogan E, ESHRE special interest group for endometriosis and endometrium guideline development group (2005) ESHRE Guideline for the diagnosis and treatment of endometriosis. Hum Reprod 20(10):2698–2704
74.
Zurück zum Zitat Coccia ME, Rizzello F, Barone S, Pinelli S, Rapalini E, Parri C, Caracciolo D, Papageorgiou S, Cima G, Gandini L (2014) Is there a critical endometrioma size associated with reduced ovarian responsiveness in assisted reproduction techniques? Reprod Biomed Online 29(2):259–266 PubMed Coccia ME, Rizzello F, Barone S, Pinelli S, Rapalini E, Parri C, Caracciolo D, Papageorgiou S, Cima G, Gandini L (2014) Is there a critical endometrioma size associated with reduced ovarian responsiveness in assisted reproduction techniques? Reprod Biomed Online 29(2):259–266 PubMed
75.
Zurück zum Zitat Rubod C, Jean dit Gautier E, Yazbeck C (2018) Surgical management of endometrioma: different alternatives in term of pain, fertility and recurrence. CNGOF-HAS endometriosis guidelines. Gynecol Obstet Fertil Senol 46(3):278–289 PubMed Rubod C, Jean dit Gautier E, Yazbeck C (2018) Surgical management of endometrioma: different alternatives in term of pain, fertility and recurrence. CNGOF-HAS endometriosis guidelines. Gynecol Obstet Fertil Senol 46(3):278–289 PubMed
76.
Zurück zum Zitat Perlman S, Kjer JJ (2016) Ovarian damage due to cyst removal: a comparison between endometriomas and dermoid cysts. Acta Obstet Gyncol Scand 95(3):285–290 Perlman S, Kjer JJ (2016) Ovarian damage due to cyst removal: a comparison between endometriomas and dermoid cysts. Acta Obstet Gyncol Scand 95(3):285–290
77.
Zurück zum Zitat Kwon SK, Kim SH, Yun S‑C, Kim DY, Chae HD, Kim C‑H, Kang BM (2014) Decline of serum anti-Müllerian hormone levels after laparoscopic ovarian cystectomy in endometrioma and other benign cysts: a prospective cohort study. Fertil Steril 101(2):435–441 PubMed Kwon SK, Kim SH, Yun S‑C, Kim DY, Chae HD, Kim C‑H, Kang BM (2014) Decline of serum anti-Müllerian hormone levels after laparoscopic ovarian cystectomy in endometrioma and other benign cysts: a prospective cohort study. Fertil Steril 101(2):435–441 PubMed
78.
Zurück zum Zitat Muzii L, Achilli C, Bergamini V, Candiani M, Garavaglia E, Lazzeri L, Lecce F, Maiorana A, Maneschi F, Marana R, Perandini A, Porpora MG, Seracchioli R, Spagnolo E, Vignali M, Benedetti Panici P (2016) Comparison between the stripping technique and the combined excisional/ablative technique for the treatment of bilateral ovarian endometriomas: a multicenter RCT. Hum Reprod 31(2):339–344 PubMed Muzii L, Achilli C, Bergamini V, Candiani M, Garavaglia E, Lazzeri L, Lecce F, Maiorana A, Maneschi F, Marana R, Perandini A, Porpora MG, Seracchioli R, Spagnolo E, Vignali M, Benedetti Panici P (2016) Comparison between the stripping technique and the combined excisional/ablative technique for the treatment of bilateral ovarian endometriomas: a multicenter RCT. Hum Reprod 31(2):339–344 PubMed
79.
Zurück zum Zitat Zhang C‑H, Wu L, Li P‑Q (2016) Clinical study of the impact on ovarian reserve by different hemostasis methods in laparoscopic cystectomy for ovarian endometrioma. Taiwan J Obstet Gynecol 55(4):507–511 PubMed Zhang C‑H, Wu L, Li P‑Q (2016) Clinical study of the impact on ovarian reserve by different hemostasis methods in laparoscopic cystectomy for ovarian endometrioma. Taiwan J Obstet Gynecol 55(4):507–511 PubMed
80.
Zurück zum Zitat Asgari Z, Rouholamin S, Hosseini R, Sepidarkish M, Hafizi L, Javaheri A (2016) Comparing ovarian reserve after laparoscopic excision of endometriotic cysts and hemostasis achieved either by bipolar coagulation or suturing: a randomized clinical trial. Arch Gyn Obstet 293(5):1015–1022 Asgari Z, Rouholamin S, Hosseini R, Sepidarkish M, Hafizi L, Javaheri A (2016) Comparing ovarian reserve after laparoscopic excision of endometriotic cysts and hemostasis achieved either by bipolar coagulation or suturing: a randomized clinical trial. Arch Gyn Obstet 293(5):1015–1022
81.
Zurück zum Zitat Muzii L, Achilli C, Lecce F, Bianchi A, Franceschetti S, Marchetti C, Perniola G, Benedetti Panici P (2015) Fertil Steril 103(3):738–743 PubMed Muzii L, Achilli C, Lecce F, Bianchi A, Franceschetti S, Marchetti C, Perniola G, Benedetti Panici P (2015) Fertil Steril 103(3):738–743 PubMed
82.
Zurück zum Zitat Giampaolino P, Corte DL, Saccone G, Vitagliano A, Bifulco G, Calagna G, Carugno J, Di Spiezo Sardo A (2019) Role of ovarian suspension in preventing postsurgical ovarian adhesions in patients with stage III–IV pelvic endometriosis: a systematic review. J Minim Invasive Gynecol 26(1):53–62 PubMed Giampaolino P, Corte DL, Saccone G, Vitagliano A, Bifulco G, Calagna G, Carugno J, Di Spiezo Sardo A (2019) Role of ovarian suspension in preventing postsurgical ovarian adhesions in patients with stage III–IV pelvic endometriosis: a systematic review. J Minim Invasive Gynecol 26(1):53–62 PubMed
Metadaten
Titel
Operative Therapie der Endometriose und ihre Risiken
verfasst von
Dr. med. Sebastian D. Schäfer
Publikationsdatum
21.08.2020
Verlag
Springer Medizin
Erschienen in
Der Gynäkologe / Ausgabe 10/2020
Print ISSN: 0017-5994
Elektronische ISSN: 1433-0393
DOI
https://doi.org/10.1007/s00129-020-04646-8

Weitere Artikel der Ausgabe 10/2020

Der Gynäkologe 10/2020 Zur Ausgabe

Frauengesundheit in der Praxis

Update Vaginalmykose

Einführung zum Thema

Endometriose

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Gynäkologie und bleiben Sie gut informiert – ganz bequem per eMail.