Operative Therapie der tief infiltrierenden Endometriose

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 - Ultraschall

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