Skip to main content
main-content

2013 | OriginalPaper | Buchkapitel

9. Konisation, Hysterektomie und Adnektomie

verfasst von: Dr. med. Axel Valet

Erschienen in: Operationsatlas Gynäkologische Onkologie

Verlag: Springer Berlin Heidelberg

Auszug

Die Konisation ist in den letzten Jahren einem Wandel unterworfen. Zählte sie vor 20 Jahren noch zum diagnostischen Routineverfahren verdächtiger zytologischer Portio- und Zervixbefunde, so traten in den vergangenen 10 Jahren immer mehr die Kolposkopie und kolposkopisch gezielte Biopsien in den Vordergrund. Nach wie vor aber ist die Konisation ein weltweit häufiger Eingriff, der bei hochgradigen Zervixdysplasien sowohl diagnostisch zum Ausschluss einer Mikroinvasion als auch gleichzeitig therapeutisch zur Beseitigung der Läsion eingesetzt wird. …
Literatur
[1]
Zurück zum Zitat Apgar BS, Brotzman G (2004) Management of cervical cytologic abnormalities. Am Fam Physician 70(19):1866–1868 Apgar BS, Brotzman G (2004) Management of cervical cytologic abnormalities. Am Fam Physician 70(19):1866–1868
[2]
Zurück zum Zitat Arbyn M, Kyrgiou M, Simoens C, Raifu AO, Koliopoulos G, Martin-Hirsch P, Prendiville W, Paraskevaidis E (2008) Perinatal mortality and other severe adverse pregnancy outcomes associated with treatment of cervical intraepithelial neoplasie: metaanalysis. BMJ 1284:337 Arbyn M, Kyrgiou M, Simoens C, Raifu AO, Koliopoulos G, Martin-Hirsch P, Prendiville W, Paraskevaidis E (2008) Perinatal mortality and other severe adverse pregnancy outcomes associated with treatment of cervical intraepithelial neoplasie: metaanalysis. BMJ 1284:337
[3]
Zurück zum Zitat Beckmann MW, Mallmann P et al. (2008) Interdisziplinäre S2k-Leitlinie für die Diagnostik und Therapie des Zervixkarzinomes. www: awmf.org Beckmann MW, Mallmann P et al. (2008) Interdisziplinäre S2k-Leitlinie für die Diagnostik und Therapie des Zervixkarzinomes. www: awmf.org
[4]
Zurück zum Zitat Bertelsen B, Tande T, Sandvei R, Hartveit F (1999) Laser conization of cervical intraepithelial neoplasia grade 3: free resection margins indicative of lesion-free survival. Acta Obstet Scand 76(1):54–59 CrossRef Bertelsen B, Tande T, Sandvei R, Hartveit F (1999) Laser conization of cervical intraepithelial neoplasia grade 3: free resection margins indicative of lesion-free survival. Acta Obstet Scand 76(1):54–59 CrossRef
[5]
Zurück zum Zitat Bisseling KC, Bekkers RL, Rome RM, Quinn MA (2007) Treatment of microinvasive adenocarcinoma of the uterine cervix: a retrospective study and review of the literature. Gynecol Oncol 107(3):424–430 PubMedCrossRef Bisseling KC, Bekkers RL, Rome RM, Quinn MA (2007) Treatment of microinvasive adenocarcinoma of the uterine cervix: a retrospective study and review of the literature. Gynecol Oncol 107(3):424–430 PubMedCrossRef
[6]
Zurück zum Zitat de Sanjose S, Quint WG, Alemany L et al (2010) Human papillomavirus genotype attribution in invasive cervical cander: a retrospective crosssectional worldwidestudy. Lancet Oncol 11(11):1048–1056 PubMedCrossRef de Sanjose S, Quint WG, Alemany L et al (2010) Human papillomavirus genotype attribution in invasive cervical cander: a retrospective crosssectional worldwidestudy. Lancet Oncol 11(11):1048–1056 PubMedCrossRef
[7]
Zurück zum Zitat Kühn W (2009) Empfehlungen der AGCPC zur Kolposkopie, Diagnostik und Therapie bei Erkrankungen des unteren Genitaltraktes der Frau, AG Zervixpathologie und Kolposkopie, Sektion der DGGG; www.ag-cpc.de Kühn W (2009) Empfehlungen der AGCPC zur Kolposkopie, Diagnostik und Therapie bei Erkrankungen des unteren Genitaltraktes der Frau, AG Zervixpathologie und Kolposkopie, Sektion der DGGG; www.ag-cpc.de
[8]
Zurück zum Zitat Goerke K, Steller J, Valet A (2008) Klinikleitfaden Gynäkologie & Geburtshilfe, 7. Aufl. Urban, München Goerke K, Steller J, Valet A (2008) Klinikleitfaden Gynäkologie & Geburtshilfe, 7. Aufl. Urban, München
[9]
Zurück zum Zitat Gonçalves CV, Duarte G, Costa JS, Marcolin AC, Bianchi MS, Dias D, Lima LC (2009) Diagnosis and treatment of cervical cancer during pregnancy. Sao Paulo Med J 127(6):359–365 PubMedCrossRef Gonçalves CV, Duarte G, Costa JS, Marcolin AC, Bianchi MS, Dias D, Lima LC (2009) Diagnosis and treatment of cervical cancer during pregnancy. Sao Paulo Med J 127(6):359–365 PubMedCrossRef
[10]
Zurück zum Zitat Gondry J, Vergne C, Mui SL, Boulanger JC (1999) Conization with positive margins. Contrazept Fertil Sex 27(7/8):532–536 Gondry J, Vergne C, Mui SL, Boulanger JC (1999) Conization with positive margins. Contrazept Fertil Sex 27(7/8):532–536
[11]
Zurück zum Zitat Jakus S, Edmonds P, Dunton C, King SA (2000) Margin status and excision of cervical intraepithelial neoplasia: a review. Obst 55(8):520–527 Jakus S, Edmonds P, Dunton C, King SA (2000) Margin status and excision of cervical intraepithelial neoplasia: a review. Obst 55(8):520–527
[12]
Zurück zum Zitat Kaplan KJ, Dainty LA, Dollinsky B, Rose GS, Carlson J, McHale M, Elkas JC (2004) Prognosis and recurrance risk for patients with cervical squamous intraepithelial lesions diagnosed during pregnanca. Cancer 102(4):228–232 PubMedCrossRef Kaplan KJ, Dainty LA, Dollinsky B, Rose GS, Carlson J, McHale M, Elkas JC (2004) Prognosis and recurrance risk for patients with cervical squamous intraepithelial lesions diagnosed during pregnanca. Cancer 102(4):228–232 PubMedCrossRef
[13]
Zurück zum Zitat Kyrgiou M, Koliopoulos G, Martin-Hirsch P, Arbyn M, Prendiville W, Paraskevaidis E (2006) Obstetric outcomes after conservative treatment for intraepithelial or early invasive cervical lesions: systematic review and metaanalysis. Lancet 367(9509):489–498 PubMedCrossRef Kyrgiou M, Koliopoulos G, Martin-Hirsch P, Arbyn M, Prendiville W, Paraskevaidis E (2006) Obstetric outcomes after conservative treatment for intraepithelial or early invasive cervical lesions: systematic review and metaanalysis. Lancet 367(9509):489–498 PubMedCrossRef
[14]
Zurück zum Zitat Martin-Hirsch PL, Paraskevaidis E, Kitchener H (2010) Surgery for cervical intraepitelial neoplasia. Cochraine Database Syst rev 6: (CD001318) Martin-Hirsch PL, Paraskevaidis E, Kitchener H (2010) Surgery for cervical intraepitelial neoplasia. Cochraine Database Syst rev 6: (CD001318)
[15]
Zurück zum Zitat Mota F (2003) Microinvasive squamous carcinoma oft he cervix: treatment modalities. Acta Obstet Gynecol Scand 82(6):505–509 PubMedCrossRef Mota F (2003) Microinvasive squamous carcinoma oft he cervix: treatment modalities. Acta Obstet Gynecol Scand 82(6):505–509 PubMedCrossRef
[16]
Zurück zum Zitat Nguyen C, Montz FJ, Bristow RE (2000) Management of stage I cervical cancer in pregnancy. Obstet Gynecol Surv 55(10):633–643 PubMedCrossRef Nguyen C, Montz FJ, Bristow RE (2000) Management of stage I cervical cancer in pregnancy. Obstet Gynecol Surv 55(10):633–643 PubMedCrossRef
[17]
Zurück zum Zitat Panna S, Luanratanakom S (2009) Positive margin prevalence and risk factors with cervical specimens obtained from loop electrosurgical excision procedures and cold knife conization. Asian Pac J Cancer Pre 10(4):637–640 Panna S, Luanratanakom S (2009) Positive margin prevalence and risk factors with cervical specimens obtained from loop electrosurgical excision procedures and cold knife conization. Asian Pac J Cancer Pre 10(4):637–640
[18]
Zurück zum Zitat Petru U, Kapp K, Reich O, Pristauz-Telsnigg G, Benedicic C, Winter R (2010) Manual der gynäkologischen Onkologie der AGO Austria. Med Media Verlagsgesellschaft, www.ago-manual.at Petru U, Kapp K, Reich O, Pristauz-Telsnigg G, Benedicic C, Winter R (2010) Manual der gynäkologischen Onkologie der AGO Austria. Med Media Verlagsgesellschaft, www.ago-manual.at
[19]
Zurück zum Zitat Reich O, Lahousen M, Pickel H et al (2002) Cervical intraepithelial neoplasia III: Long-term follow-up after cold knife conization with involved margins. Obstet Gynecol 99:193–196 PubMedCrossRef Reich O, Lahousen M, Pickel H et al (2002) Cervical intraepithelial neoplasia III: Long-term follow-up after cold knife conization with involved margins. Obstet Gynecol 99:193–196 PubMedCrossRef
[20]
Zurück zum Zitat Reynolds EA, Tierney K, Keeny GL, Felix JC, Weaver AL, Roman LD, Cliby WA (2010) Analysis of outcomes of microinvasive adenocarcinoma oft he uterine cervix by treatment type. Obstet Gynecol 116(5):1150–1157 PubMedCrossRef Reynolds EA, Tierney K, Keeny GL, Felix JC, Weaver AL, Roman LD, Cliby WA (2010) Analysis of outcomes of microinvasive adenocarcinoma oft he uterine cervix by treatment type. Obstet Gynecol 116(5):1150–1157 PubMedCrossRef
[21]
Zurück zum Zitat Abdelmonem A, Wilson H, Pasic R (2006) Observational comparison of abdominal, vaginal and laparoscopic hysterectomy as performed at a university teaching hospital. J Reprod Med 51(12):945–954 PubMed Abdelmonem A, Wilson H, Pasic R (2006) Observational comparison of abdominal, vaginal and laparoscopic hysterectomy as performed at a university teaching hospital. J Reprod Med 51(12):945–954 PubMed
[22]
Zurück zum Zitat Donnez O, Squifflet J, Leconte I, Jadoul P, Donnez J (2007) Posthysterectomy pelvic adenomyotic masses observed in 8 cases out of series of 1405 laparoscopic subtotal hysterectomies. J Minim Invasive Gynecol 14(2):156–160 PubMedCrossRef Donnez O, Squifflet J, Leconte I, Jadoul P, Donnez J (2007) Posthysterectomy pelvic adenomyotic masses observed in 8 cases out of series of 1405 laparoscopic subtotal hysterectomies. J Minim Invasive Gynecol 14(2):156–160 PubMedCrossRef
[23]
Zurück zum Zitat Ellström MA, Astrom M, Möller A, Olsson JH, Hahlin M (2003) A randomized trial comparing in psychological wellbeing an sexuality after laparoscopic and abdominal hysterectomy. Acta Obstet Gynecol Scand 82(9):871–875 PubMed Ellström MA, Astrom M, Möller A, Olsson JH, Hahlin M (2003) A randomized trial comparing in psychological wellbeing an sexuality after laparoscopic and abdominal hysterectomy. Acta Obstet Gynecol Scand 82(9):871–875 PubMed
[24]
Zurück zum Zitat Garry R, Fountain J, Mason S et al (2004) The eVALuate study: two parallel randomized trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ 328(7432):129 PubMedCrossRef Garry R, Fountain J, Mason S et al (2004) The eVALuate study: two parallel randomized trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ 328(7432):129 PubMedCrossRef
[25]
Zurück zum Zitat Gimbel H, Zobbe V, Andersen BM, Filtenborg T, Gluud C, Tabor A (2004) Randomized controlled trial of total compared with subtotal hysterectomy with one year follow-up results. BJOG 111(7):760 CrossRef Gimbel H, Zobbe V, Andersen BM, Filtenborg T, Gluud C, Tabor A (2004) Randomized controlled trial of total compared with subtotal hysterectomy with one year follow-up results. BJOG 111(7):760 CrossRef
[26]
Zurück zum Zitat Gimbel H, Zobbe V, Andersen BM, Gluud C, Ottesen BS, Tabor A (2005) Total versus subtotal hysterectomy: an observational study with one year follow-up. Aust N Z J Obstet Gynecol 45(1):64–67 CrossRef Gimbel H, Zobbe V, Andersen BM, Gluud C, Ottesen BS, Tabor A (2005) Total versus subtotal hysterectomy: an observational study with one year follow-up. Aust N Z J Obstet Gynecol 45(1):64–67 CrossRef
[27]
Zurück zum Zitat Goetsch MF (2005) The effect of total hysterectomy on specific sexual sensations. Am J Obstet Gynecol 192(6):1922–1927 PubMedCrossRef Goetsch MF (2005) The effect of total hysterectomy on specific sexual sensations. Am J Obstet Gynecol 192(6):1922–1927 PubMedCrossRef
[28]
Zurück zum Zitat Harmanli OH, Khilnani R, Dandolu V, Chatwani AJ (2004) Narrow pubic arch and increased risk of failure for vaginal hysterectomy. Obstet Gynecol 104(4):697–700 PubMedCrossRef Harmanli OH, Khilnani R, Dandolu V, Chatwani AJ (2004) Narrow pubic arch and increased risk of failure for vaginal hysterectomy. Obstet Gynecol 104(4):697–700 PubMedCrossRef
[29]
Zurück zum Zitat Johnston N, Barlow D, Lethaby A, Tavender E, Curr E, Garry R (2006) Surgical approach to hysterectomy for benign gynaecological desease. Cochrane database Syst Rev 19 (2): CD003677 and: BMJ 2005; 330 (7506): 1478 Johnston N, Barlow D, Lethaby A, Tavender E, Curr E, Garry R (2006) Surgical approach to hysterectomy for benign gynaecological desease. Cochrane database Syst Rev 19 (2): CD003677 and: BMJ 2005; 330 (7506): 1478
[30]
Zurück zum Zitat Kluivers KB, Hendrick JC, Mol BW, Bongers M, Bremer GL, de Vet HC, Vierhout ME, Brolman HA (2007) Quality of live and surgical outcome after total laparoscopic hysterectomy versus total abdominal hysterectomy for benign disease: a randomized, contriolles trial. J Minim Invasive Gynecol 14(2):145–152 PubMedCrossRef Kluivers KB, Hendrick JC, Mol BW, Bongers M, Bremer GL, de Vet HC, Vierhout ME, Brolman HA (2007) Quality of live and surgical outcome after total laparoscopic hysterectomy versus total abdominal hysterectomy for benign disease: a randomized, contriolles trial. J Minim Invasive Gynecol 14(2):145–152 PubMedCrossRef
[31]
Zurück zum Zitat Kuppermann M, Summit Jr RL, Varner RE et al (2005) Sexual functioning after total compared with supracervical hysterectomy: a randomized study. Obstet Gynecol 105(6):1309–1318 PubMedCrossRef Kuppermann M, Summit Jr RL, Varner RE et al (2005) Sexual functioning after total compared with supracervical hysterectomy: a randomized study. Obstet Gynecol 105(6):1309–1318 PubMedCrossRef
[32]
Zurück zum Zitat Learman LA, Summitt Jr RL, Varner RE et al (2003) A randomized comparison of total or supracervical hysterectomy: surgical complications an clinical outcomes. Obstet Gynecol 102(3):453–462 PubMedCrossRef Learman LA, Summitt Jr RL, Varner RE et al (2003) A randomized comparison of total or supracervical hysterectomy: surgical complications an clinical outcomes. Obstet Gynecol 102(3):453–462 PubMedCrossRef
[33]
Zurück zum Zitat McPherson K, Metcalfe MA, Herbert A, Maresh M, Casbard A, Hargreaves J, Bridgman S, Clarke A (2004) Severe complications of hysterectomy: the VALUE study. BJOG 111(7):688–694 PubMedCrossRef McPherson K, Metcalfe MA, Herbert A, Maresh M, Casbard A, Hargreaves J, Bridgman S, Clarke A (2004) Severe complications of hysterectomy: the VALUE study. BJOG 111(7):688–694 PubMedCrossRef
[34]
Zurück zum Zitat Oscarsson U, Poromaa IS, Nüssler E, Löfgren M (2006) No difference in length of hospital stay between laparoscopic and abdominal supravaginal hysterectomy – a preliminary study. Acta Obstet Gynecol Scand 885(6):682–687 CrossRef Oscarsson U, Poromaa IS, Nüssler E, Löfgren M (2006) No difference in length of hospital stay between laparoscopic and abdominal supravaginal hysterectomy – a preliminary study. Acta Obstet Gynecol Scand 885(6):682–687 CrossRef
[35]
Zurück zum Zitat Persson P, Wijma H, Hammar M, Kjølhede P (2006) Psychological wellbeing after laparoscopic and abdominal hysterectomy – a randomized controlled mulitcenter study. BJOG 113(9):1023–1030 PubMedCrossRef Persson P, Wijma H, Hammar M, Kjølhede P (2006) Psychological wellbeing after laparoscopic and abdominal hysterectomy – a randomized controlled mulitcenter study. BJOG 113(9):1023–1030 PubMedCrossRef
[36]
Zurück zum Zitat Rooney CM, Crawford AT, Vasallo BJ, Kleeman SD, Karram MM (2005) Is previous caesarean section a risk for incidental cystotomy at the time of hysterectomy? A case controlled study. Am J Obstet Gynecol 196(6):2041–2044 CrossRef Rooney CM, Crawford AT, Vasallo BJ, Kleeman SD, Karram MM (2005) Is previous caesarean section a risk for incidental cystotomy at the time of hysterectomy? A case controlled study. Am J Obstet Gynecol 196(6):2041–2044 CrossRef
[37]
Zurück zum Zitat Roovers JP, van der Bom JG, van der Vaart CH, Heintz AP (2003) Hysterectomy and sexual wellbeing: prospective observational study of vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy. BMJ 327(7418):774–778 PubMedCrossRef Roovers JP, van der Bom JG, van der Vaart CH, Heintz AP (2003) Hysterectomy and sexual wellbeing: prospective observational study of vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy. BMJ 327(7418):774–778 PubMedCrossRef
[38]
Zurück zum Zitat Spilsburry K, Semmens JB, Hammond I, Bolck A (2006) Persistant high rates of hysterectomy in Western Australia: a population-related study of 83 000 procedures over 23 years. BJOG 113(7):804–809 CrossRef Spilsburry K, Semmens JB, Hammond I, Bolck A (2006) Persistant high rates of hysterectomy in Western Australia: a population-related study of 83 000 procedures over 23 years. BJOG 113(7):804–809 CrossRef
[39]
Zurück zum Zitat Thakar R, Ayers S, Clarkson P, Stanton S, Manyonda I (2002) Outcomes after total versus subtotal abdominal hysterectomy. N Engl J Med 347(17):1318–1325 PubMedCrossRef Thakar R, Ayers S, Clarkson P, Stanton S, Manyonda I (2002) Outcomes after total versus subtotal abdominal hysterectomy. N Engl J Med 347(17):1318–1325 PubMedCrossRef
[40]
Zurück zum Zitat Thakar R, Ayers S, Georgakapolou A, Clarkson P, Stanton S, Manyonda I (2004) Hysterectomy improves quality of life an decreases psychiatric symptoms: a prospective an randomized cmparison of total versus subtotal hysterectomy. BJOG 111(10):1115–1120 PubMedCrossRef Thakar R, Ayers S, Georgakapolou A, Clarkson P, Stanton S, Manyonda I (2004) Hysterectomy improves quality of life an decreases psychiatric symptoms: a prospective an randomized cmparison of total versus subtotal hysterectomy. BJOG 111(10):1115–1120 PubMedCrossRef
[41]
Zurück zum Zitat Hofmann R, Wagner U (2009) Inkontinenz- und Deszensuschirurgie der Frau. Springer, Heidelberg CrossRef Hofmann R, Wagner U (2009) Inkontinenz- und Deszensuschirurgie der Frau. Springer, Heidelberg CrossRef
[42]
Zurück zum Zitat Agostini A, Bretelle F, Cravallo L, Maisonneuve AS, Roger V, Blanc B (2003) Vaginal hysterectomy in nulliparous women without prolapse: a prospective comparative study. BJOC 110(5):515–518 Agostini A, Bretelle F, Cravallo L, Maisonneuve AS, Roger V, Blanc B (2003) Vaginal hysterectomy in nulliparous women without prolapse: a prospective comparative study. BJOC 110(5):515–518
[43]
Zurück zum Zitat Benassi L, Rossi T, Kaihura CT, Ricci L, Bedocchi L, Galanti B, Vadora E (2002) Abdominal or vaginal hysterectomy for enlarged uteri: a randomized clinical trial. Am J Obstet Gynecol 187(6):1561–1565 PubMedCrossRef Benassi L, Rossi T, Kaihura CT, Ricci L, Bedocchi L, Galanti B, Vadora E (2002) Abdominal or vaginal hysterectomy for enlarged uteri: a randomized clinical trial. Am J Obstet Gynecol 187(6):1561–1565 PubMedCrossRef
[44]
Zurück zum Zitat Bottle A, Aylin P (2005) Variations in vaginal and abdominal hysterectomy by region and trust in England. BJOG 112(3):326–328 PubMedCrossRef Bottle A, Aylin P (2005) Variations in vaginal and abdominal hysterectomy by region and trust in England. BJOG 112(3):326–328 PubMedCrossRef
[45]
Zurück zum Zitat Dällenbach D, Kaelin-Gambirasio I, Dubuisson JB, Boulvain M (2007) Risk factors for pelvic organ prolapse repair after hysterectomy. Obstet Gynecol 110(3):625–623 PubMedCrossRef Dällenbach D, Kaelin-Gambirasio I, Dubuisson JB, Boulvain M (2007) Risk factors for pelvic organ prolapse repair after hysterectomy. Obstet Gynecol 110(3):625–623 PubMedCrossRef
[46]
Zurück zum Zitat Harmanli OH, Khilnani R, Dandolu V, Chatwani AJ (2004) Narrow pubic arch and increased risk of failure for vaginal hysterectomy. Obstet Gynecol 104(4):697–700 PubMedCrossRef Harmanli OH, Khilnani R, Dandolu V, Chatwani AJ (2004) Narrow pubic arch and increased risk of failure for vaginal hysterectomy. Obstet Gynecol 104(4):697–700 PubMedCrossRef
[47]
Zurück zum Zitat Isik-Akby EF, Harmanli OH, Panaganamamula UR, Akbay M, Gaughan J, Chatwani AJ (2004) Hysterectomy in obese women: a Comparison of abdominal and vaginal routes. Obstet Gynecol 104(4):710–714 CrossRef Isik-Akby EF, Harmanli OH, Panaganamamula UR, Akbay M, Gaughan J, Chatwani AJ (2004) Hysterectomy in obese women: a Comparison of abdominal and vaginal routes. Obstet Gynecol 104(4):710–714 CrossRef
[48]
Zurück zum Zitat Jacobson GF, Shaber RE, Armstrong MA, Hung YY (2006) Hysterectomy rates for benign indications. Obstet Gynecol 107(6):1278–1283 PubMedCrossRef Jacobson GF, Shaber RE, Armstrong MA, Hung YY (2006) Hysterectomy rates for benign indications. Obstet Gynecol 107(6):1278–1283 PubMedCrossRef
[49]
Zurück zum Zitat Johnston N, Barlow D, Lethaby A, Tavender E, Curr E, Garry R (2006) Surgical approach to hysterectomy for benign gynaecological desease. Cochrane database Syst Rev 19 (2): CD003677 und: BMJ 2005; 330 (7506): 1478 Johnston N, Barlow D, Lethaby A, Tavender E, Curr E, Garry R (2006) Surgical approach to hysterectomy for benign gynaecological desease. Cochrane database Syst Rev 19 (2): CD003677 und: BMJ 2005; 330 (7506): 1478
[50]
Zurück zum Zitat Kovac SR, Barhan S, Lister M, Tucker L, Bishop M, Das A (2002) Guidelines for the selection of the route of hysterectomy: applications in a resident clinic population. Am J Obstet Gynecol 187(6):1521–1527 PubMedCrossRef Kovac SR, Barhan S, Lister M, Tucker L, Bishop M, Das A (2002) Guidelines for the selection of the route of hysterectomy: applications in a resident clinic population. Am J Obstet Gynecol 187(6):1521–1527 PubMedCrossRef
[51]
Zurück zum Zitat Kovac SR (2004) Transvaginal hysterectomy: rationale and surgical approach. Obstet Gynecol 103(6):1321–1325 PubMedCrossRef Kovac SR (2004) Transvaginal hysterectomy: rationale and surgical approach. Obstet Gynecol 103(6):1321–1325 PubMedCrossRef
[52]
Zurück zum Zitat Rafii A, Samain E, Levardon M, Darai E, Deval B (2005) Vaginal hysterectomy for benign disorders in obese women: a prospective study. BJOG 112(2):223–227 PubMedCrossRef Rafii A, Samain E, Levardon M, Darai E, Deval B (2005) Vaginal hysterectomy for benign disorders in obese women: a prospective study. BJOG 112(2):223–227 PubMedCrossRef
[53]
Zurück zum Zitat Rooney CM, Crawford AT, Vasallo BJ, Kleeman SD, Karram MM (2005) Is previous caesarean section a risk for incidental cystotomy at the time of hysterectomy? A case controlled study. Am J Obstet Gynecol 196(6):2041–2044 CrossRef Rooney CM, Crawford AT, Vasallo BJ, Kleeman SD, Karram MM (2005) Is previous caesarean section a risk for incidental cystotomy at the time of hysterectomy? A case controlled study. Am J Obstet Gynecol 196(6):2041–2044 CrossRef
[54]
Zurück zum Zitat Roovers JP, van der Bom JG, van der Vaart CH, Heintz AP (2003) Hysterectomy and sexual wellbeing: prospective observational study of vaginal hysterectomy, subtotal abdominal hysterectomy and total abdominal hysterectomy. BMJ 327(75/8):774–778 PubMedCrossRef Roovers JP, van der Bom JG, van der Vaart CH, Heintz AP (2003) Hysterectomy and sexual wellbeing: prospective observational study of vaginal hysterectomy, subtotal abdominal hysterectomy and total abdominal hysterectomy. BMJ 327(75/8):774–778 PubMedCrossRef
[55]
Zurück zum Zitat Roovers JP, van der Vaart CH, van der Bom JG, van Leeuwen JH, Scholten PC, Heintz AP (2004) A randomized controlled trial company abdominal and vaginal prolapse surgery: effects on urogenital function. BJOC 111(1):50–56 Roovers JP, van der Vaart CH, van der Bom JG, van Leeuwen JH, Scholten PC, Heintz AP (2004) A randomized controlled trial company abdominal and vaginal prolapse surgery: effects on urogenital function. BJOC 111(1):50–56
[56]
Zurück zum Zitat Roussis NP, Waltrous L, Kerr A, Robertazzi R, Cabbad MF (2004) Sexual response in the patient after hysterectomy: total abdominal versus supracervical versus vaginal procedure. Am J Obstet Gynecol 190(5):1427–1428 PubMedCrossRef Roussis NP, Waltrous L, Kerr A, Robertazzi R, Cabbad MF (2004) Sexual response in the patient after hysterectomy: total abdominal versus supracervical versus vaginal procedure. Am J Obstet Gynecol 190(5):1427–1428 PubMedCrossRef
[57]
Zurück zum Zitat Taylor SM, Romero AA, Kammerer-Doak DN, Qualls C, Rogers RG (2003) Abdominal hysterectomy for the enlarged myomatosus uterus compared with vaginal hysterectomy with morcellation. Am J Obstet Gynecol 189(6):1579–1582 PubMedCrossRef Taylor SM, Romero AA, Kammerer-Doak DN, Qualls C, Rogers RG (2003) Abdominal hysterectomy for the enlarged myomatosus uterus compared with vaginal hysterectomy with morcellation. Am J Obstet Gynecol 189(6):1579–1582 PubMedCrossRef
[58]
Zurück zum Zitat de Tayrac R, Chevalier N, Chauveaud-Lambling A, Gervaise A, Fernandez H (2004) Risk of urge and stress urinary incontinence al long-term-follow-up after vaginal hysterectomy. Am J Obstet Gyncol 191(1):90–94 CrossRef de Tayrac R, Chevalier N, Chauveaud-Lambling A, Gervaise A, Fernandez H (2004) Risk of urge and stress urinary incontinence al long-term-follow-up after vaginal hysterectomy. Am J Obstet Gyncol 191(1):90–94 CrossRef
[59]
Zurück zum Zitat Tunuguntla HS, Gousse AE (2006) Female sexual dysfunction following vaginal surgery: a review. J Urol 175(2):439–464 PubMedCrossRef Tunuguntla HS, Gousse AE (2006) Female sexual dysfunction following vaginal surgery: a review. J Urol 175(2):439–464 PubMedCrossRef
[60]
Zurück zum Zitat Valet A (2003) Sexuelle Störungen. In: Goerke K, Steller J, Valet A (Hrsg) Klinikleitfaden Gynäkologie und Geburtshilfe, 6. Aufl. Urban, München Valet A (2003) Sexuelle Störungen. In: Goerke K, Steller J, Valet A (Hrsg) Klinikleitfaden Gynäkologie und Geburtshilfe, 6. Aufl. Urban, München
[61]
Zurück zum Zitat Rocca WA, Bower JH, Maraganore DM, Ahlskog JE, Grossard BR, de Andrade M, Melton 3rd LJ (2007) Increased risk for cognitive impairment or dementia in women who underwent oophorectomy before menopause. Neurology 69(11):1074–1083 PubMedCrossRef Rocca WA, Bower JH, Maraganore DM, Ahlskog JE, Grossard BR, de Andrade M, Melton 3rd LJ (2007) Increased risk for cognitive impairment or dementia in women who underwent oophorectomy before menopause. Neurology 69(11):1074–1083 PubMedCrossRef
[62]
Zurück zum Zitat Rocca WA, Bower JH, Maraganore DM, Ahlskog JE, Grossard BR, de Andrade M, Melton 3rd LJ (2008) Increased risk for parkinsonism or dementia in women who underwent oophorectomy before menopause. Neurology 70(3):200–209 PubMedCrossRef Rocca WA, Bower JH, Maraganore DM, Ahlskog JE, Grossard BR, de Andrade M, Melton 3rd LJ (2008) Increased risk for parkinsonism or dementia in women who underwent oophorectomy before menopause. Neurology 70(3):200–209 PubMedCrossRef
Metadaten
Titel
Konisation, Hysterektomie und Adnektomie
verfasst von
Dr. med. Axel Valet
Copyright-Jahr
2013
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-642-35128-0_9

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Newsletter

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