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
PD Dr. M. Sillem
Abteilung für Gynäkologie und Geburtshilfe · DRK Krankenhaus Neuwied
Marktstraße 104
56564 Neuwied
eMail: martin.sillem@drk-kh-neuwied.de