Aufklärungspflichten in der Gynäkologie und Geburtshilfe

Operationen in der Urogynäkologie und gynäkologischen Onkologie sind häufiger, als man denkt. So zählen die gynäkologischen Malignome nach Brust- und Darmkrebs zu den dritthäufigsten Krebsneuerkrankungen in Deutschland [29]. Gerade hier ist es wichtig, die Patientinnen über konservative Maßnahmen, aber auch über die möglichen Risiken und Komplikationen einer Operation in diesem Bereich zu informieren.

• Literatur

• 1 Schütz F, Sohn C, Wallwiener M. et al. Aufklärungspflichten in der Gynäkologie und Geburtshilfe. Teil 1: Allgemeine Aspekte medizinischer Aufklärungen. Geburtsh Frauenheilk 2017; 77: 592-597
• 2 Wallwiener D, Jonat W, Kreienberg R, Friese K, Diedrich K, Beckmann MW. Atlas der gynäkologischen Operationen. 7. Aufl.. Stuttgart, New York: Thieme; 2009
• 3 Wagner U, Hoffmann R, Bartsch DK. Hrsg. Operationsatlas Gynäkologische Onkologie. Berlin, Heidelberg: Springer-Verlag; 2013
• 4 Hofmann R, Wagner U. Inkontinenz- und Deszensuschirurgie der Frau. 2. Aufl.. Berlin, Heidelberg: Springer-Verlag; 2014
• 5 Cosson M, Querleu D, Dargent D. Vaginale Chirurgie. 2. Aufl.. Elsevier GmbH (Urban & Fischer Verlag); 2007
• 6 Keckstein J, Hucke J. Die endoskopischen Operationen in der Gynäkologie. München, Jena: Urban & Fischer Verlag; 2000
• 7 Baggish MS, Karram MM. Atlas of pelvic Anatomy and gynecologic Surgery. Saunders; 2006
• 8 Bohrer JC, Walters MD, Park A. et al. Pelvic nerve injury following gynecologic surgery: a prospective cohort study. Am J Obstet Gynecol 2009; 201: 531.e1
• 9 Cardosi RJ, Cox CS, Hoffman MS. Postoperative neuropathies after major pelvic surgery. Obstet Gynecol 2002; 100: 240
• 10 Wee HY, Low C, Han HC. Burch colposuspension: review of perioperative complications at a womenʼs and childrenʼs hospital in Singapore. Ann Acad Med Singapore 2003; 32: 821-823
• 11 Boyles SH, Weber AM, Meyn L. Procedures for pelvic organ prolapse in the United States, 1979–1997. Am J Obstet Gynecol 2003; 188: 108-115
• 12 Food and Drug Administration. Bericht der Food and Drug Administration, Juli 2011. Urogynecologic surgical mesh implants. Online: https://www.fda.gov/medicaldevices/productsandmedicalprocedures/&%236;implantsandprosthetics/&%236;urogynsurgicalmesh/ Stand: 08.08.2017
• 13 Bozkurt M, Yumru AE, Salman S. Assessment of perioperative, early, and late postoperative complications of the inside-out transobturator tape procedure in the treatment of stress urinary incontinence. Clin Exp Obstet Gynecol 2015; 42: 82-89
• 14 Marinkovic SP, Hughes S, Xie D. et al. Transvaginal rectocele repair with human dermal allograft interposition and bilateral sacrospinous fixation with a minimum eight-year follow-up. BMC Urol 2016; 16: 16 doi:10.1186/s12894-016-0135-9
• 15 Dos Reis Brandão da Silveira S. Haddad JM, de Jármy-Di Bella ZI. et al. Multicenter, randomized trial comparing native vaginal tissue repair and synthetic mesh repair for genital prolapse surgical treatment. Int Urogynecol J 2015; 26: 335-342 doi:10.1007/s00192-014-2501-z
• 16 Thubert T, Canel V, Vinchant M. et al. Bladder injury and success rates following retropubic mid-urethral sling: TVT EXACT^™ vs. TVT^™ . Eur J Obstet Gynecol Reprod Biol 2016; 198: 78-83 doi:10.1016/j.ejogrb.2016.01.012
• 17 Gutman RE, Rardin CR, Sokol ER. et al. Vaginal and laparoscopic mesh hysteropexy for uterovaginal prolapse: a parallel cohort study. Am J Obstet Gynecol 2017; 216: 38.e1-38.e11 doi:10.1016/j.ajog.2016.08.035
• 18 Hill AJ, Walters MD, Unger CA. Perioperative adverse events associated with colpocleisis for uterovaginal and posthysterectomy vaginal vault prolapse. Am J Obstet Gynecol 2016; 214: 501.e1-501.e6 doi:10.1016/j.ajog.2015.10.921
• 19 Jeon MJ, Moon YJ, Jung HJ. et al. A long-term treatment outcome of abdominal sacrocolpopexy. Yonsei Med J 2009; 50: 807-813 doi:10.3349/ymj.2009.50.6.807
• 20 Surkont G, Wlaźlak E, Petri E. et al. Standardized modified colposuspension–mid-term results of prospective studies in one centre. Ann Agric Environ Med 2015; 22: 293-296 doi:10.5604/12321966.1152082
• 21 Sun Y, Tang C, Luo D. et al. The treatment of anterior vaginal wall prolapsed by repair with mesh versus colporrhaphy. Int Urol Nephrol 2016; 48: 155-167 doi:10.1007/s11255-015-1179-6
• 22 Zhang Z, Zhu L, Xu T. et al. Retropubic tension-free vaginal tape and inside-out transobturator tape: a long-term randomized trial. Int Urogynecol J 2016; 27: 103-111 doi:10.1007/s00192-015-2798-2
• 23 Asıcıoglu O, Gungorduk K, Besımoglu B. et al. A 5-year follow-up study comparing Burch colposuspension and transobturator tape for the surgical treatment of stress urinary incontinence. Int J Gynaecol Obstet 2014; 125: 73-77 doi:10.1016/j.ijgo.2013.09.026
• 24 Huang W, Wang T, Zong H. et al. Efficacy and safety of tension-free vaginal tape-secur mini-sling versus standard midurethral slings for female stress urinary incontinence: a systematic review and meta-analysis. Int Neurourol J 2015; 19: 246-258 doi:10.5213/inj.2015.19.4.246
• 25 Reisenauer C, Oberlechner E, Schoenfisch B. et al. Modified LeFort colpocleisis: clinical outcome and patient satisfaction. Arch Gynecol Obstet 2013; 288: 1349-1353 doi:10.1007/s00404-013-2930-9
• 26 Forde JC, Davis NF, Creagh TA. Evaluation of presenting symptoms and long-term outcomes of patients requiring excision of a transobturator tape (TOT). Ir Med J 2015; 108: 270-272
• 27 Heinonen P, Aaltonen R, Joronen K. et al. Long-term outcome after transvaginal mesh repair of pelvic organ prolapse. Int Urogynecol J 2016; 27: 1069-1074 doi:10.1007/s00192-015-2939-7
• 28 Zebede S, Smith AL, Plowright LN. et al. Obliterative LeFort colpocleisis in a large group of elderly women. Obstet Gynecol 2013; 121 (2 Pt 1): 279-284
• 29 Robert Koch-Institut. Bericht zum Krebsgeschehen in Deutschland 2016. Online: http://www.krebsdaten.de/Krebs/DE/Content/Publikationen/Krebsgeschehen/Krebsgeschehen_node.html Stand: 18.07.2017
• 30 Philip CA, Pelissier A, Bonneau C. et al. Impact of neoadjuvant chemotherapy on the rate of bowel resection in advanced epithelial ovarian cancer. Anticancer Res 2016; 36: 4865-4871
• 31 du Bois A, Trillsch F, Mahner S. et al. Management of borderline ovarian tumors. Ann Oncol 2016; 27 (Suppl. 01) i20-i22
• 32 du Bois A, Ewald-Riegler N, de Gregorio N. et al. Arbeitsgmeinschaft Gynäkologische Onkologie (AGO) Study Group. Borderline tumours of the ovary: A cohort study of the Arbeitsgmeinschaft Gynäkologische Onkologie (AGO) Study Group. Eur J Cancer 2013; 49: 1905-1914
• 33 du Bois A, Reuss A, Harter P. et al. Arbeitsgemeinschaft Gynaekologische Onkologie Studiengruppe Ovarialkarzinom; Groupe dʼInvestigateurs Nationaux pour lʼEtude des Cancers Ovariens. Potential role of lymphadenectomy in advanced ovarian cancer: a combined exploratory analysis of three prospectively randomized phase III multicenter trials. J Clin Oncol 2010; 28: 1733-1739
• 34 Battista MJ, Schmidt M, Eichbaum M. et al. Management of recurrent or metastatic endometrial cancer in Germany: results of the nationwide AGO pattern of care studies from the years 2013, 2009 and 2006. Arch Gynecol Obstet 2015; 292: 1355-1360
• 35 Fleisch MC, Bremerich D, Schulte-Mattler W. et al. The prevention of positioning injuries during gynecological operations. Guideline of DGGG (S1-level, AWMF-registry 015/077). Geburtsh Frauenheilk 2015; 75: 792-807
• 36 Encke A, Haas S, Kopp I. AWMF S3-Leitlinie 003/001, Prophylaxe der venösen Thromboembolie (VTE). 2. komplett überarbeitete Auflage, Stand: 15.10.2015. Online: http://www.awmf.org/leitlinien/detail/ll/003-001.html Stand: 15.10.2015
• 37 Online: http.//fertiprotekt.com.
• 38 Yin H, Gui T. Comparative analyses of postoperative complications and prognosis of different surgical procedures in stage II endometrial carcinoma treatment. Onco Targets Ther 2016; 9: 781-786 doi:10.2147/OTT.S95806
• 39 Yao K, Zou ZJ, Li ZS. et al. Fascia lata preservation during inguinal lymphadenectomy for penile cancer: rationale and outcome. Urology 2013; 82: 642-647 doi:10.1016/j.urology.2013.05.021
• 40 Froeding LP, Ottosen C, Rung-Hansen H. et al. Sexual functioning and vaginal changes after radical vaginal trachelectomy in early stage cervical cancer patients: a longitudinal study. J Sex Med 2014; 11: 595-604 doi:10.1111/jsm.12399
• 41 Günther V, Malchow B, Schubert M. Impact of radical operative treatment on the quality of life in women with vulva cancer–a retrospective study. Eur J Surg Oncol (EJSO) 2014; 40: 875-882
• 42 Kondo E, Tabata T, Shiozaki T. et al. Large or persistent lymphocyst increases the risk of lymphedema, lymphangitis, and deep vein thrombosis after retroperitoneal lymphadenectomy for gynecologic malignancy. Arch Gynecol Obstet 2013; 288: 587-593 doi:10.1007/s00404-013-2769-0
• 43 Gaarenstroom KN, Kenter GG, Trimbos JB. et al. Postoperative complications after vulvectomy and inguinofemoral lymphadenectomy using separate groin incisions. Int J Gynecol Cancer 2003; 13: 522-527
• 44 Buda A, Ghelardi A, Fruscio R. et al. The contribution of a collagen-fibrin patch (Tachosil) to prevent the postoperative lymphatic complications after groin lymphadenectomy: a double institution observational study. Eur J Obstet Gynecol Reprod Biol 2016; 197: 156-158 doi:10.1016/j.ejogrb.2015.12.005
• 45 Iavazzo C, Gkegkes ID. Robotic assisted hysterectomy in obese patients: a systematic review. Arch Gynecol Obstet 2016; 293: 1169-1183 doi:10.1007/s00404-016-4028-7
• 46 Saidi MH, Sadler RK, Vancaillie TG. et al. Diagnosis and management of serious urinary complications after major operative laparoscopy. Obstet Gynecol 1996; 87: 272-276
• 47 Li J, Li Z, Wang H. et al. Radical abdominal trachelectomy for cervical malignancies: surgical, oncological and fertility outcomes in 62 patients. Gynecol Oncol 2011; 121: 565-570 doi:10.1016/j.ygyno.2011.01.032
• 48 Sárosi Z, Bösze P, Danczig A. et al. Complications of radical vulvectomy and adjacent lymphadenectomy based on 58 cases of vulvar cancer. Orv Hetil 1994; 135: 743-746
• 49 Hertel H, Köhler C, Grund D. et al. German Association of Gynecologic Oncologists (AGO). Radical vaginal trachelectomy (RVT) combined with laparoscopic pelvic lymphadenectomy: prospective multicenter study of 100 patients with early cervical cancer. Gynecol Oncol 2006; 103: 506-511
• 50 Eskander RN, Chang J, Ziogas A. et al. Evaluation of 30-day hospital readmission after surgery for advanced-stage ovarian cancer in a medicare population. J Clin Oncol 2014; 32: 4113-4119 doi:10.1200/JCO.2014.56.7743
• 51 Daniele G, Lorusso D, Scambia G. et al. Feasibility and outcome of interval debulking surgery (IDS) after carboplatin-paclitaxel-bevacizumab (CPB): a subgroup analysis of the MITO-16A-MaNGO OV2A phase 4 trial. Gynecol Oncol 2017; 144: 256-259 doi:10.1016/j.ygyno.2016.12.011
• 52 Ariake K, Yokoyama S, Doi T. et al. Effect of omentum removal on the risk for postoperative adhesive small bowel obstruction recurrence: a case-control study. Int J Surg 2015; 13: 27-32 doi:10.1016/j.ijsu.2014.11.031
• 53 Bristow RE, Montz FJ. Prevention of adhesion formation after radical oophorectomy using a sodium hyaluronate-carboxymethylcellulose (HA-CMC) barrier. Gynecol Oncol 2005; 99: 301-308
• 54 Hilton P, Cromwell DA. The risk of vesicovaginal and urethrovaginal fistula after hysterectomy performed in the English National Health Service–a retrospective cohort study examining patterns of care between 2000 and 2008. BJOG 2012; 119: 1447-1454 doi:10.1111/j.1471-0528.2012.03474.x
• 55 Fleming ND, Ramirez PT, Soliman PT. et al. Quality of life after radical trachelectomy for early-stage cervical cancer: a 5-year prospective evaluation. Gynecol Oncol 2016; 143: 596-603 doi:10.1016/j.ygyno.2016.10.012
• 56 Matthey-Gié ML, Gié O, Deretti S. et al. Prospective randomized study to compare lymphocele and lymphorrhea control following inguinal and axillary therapeutic lymph node dissection with or without the use of an ultrasonic scalpel. Ann Surg Oncol 2016; 23: 1716-1720 doi:10.1245/s10434-015-5025-y
• 57 Bacalbasa N, Dima S, Balescu I. et al. Results of primary cytoreductive surgery in advanced-stage epithelial ovarian cancer: a single-center experience. Anticancer Res 2015; 35: 4099-4104
• 58 Devolder K, Amant F, Neven P. et al. Role of diaphragmatic surgery in 69 patients with ovarian carcinoma. Int J Gynecol Cancer 2008; 18: 363-368 doi:10.1111/j.1525-1438.2007.01006.x
• 59 Jolley JA, Battista L, Wing DA. Management of pregnancy after radical trachelectomy: case reports and systematic review of the literature. Am J Perinatol 2007; 24: 531-539
• 60 Kim CH, Abu-Rustum NR, Chi DS. et al. Reproductive outcomes of patients undergoing radical trachelectomy for early-stage cervical cancer. Gynecol Oncol 2012; 125: 585-588 doi:10.1016/j.ygyno.2012.03.014
• 61 Finch A, Metcalfe KA, Chiang JK. et al. The impact of prophylactic salpingo-oophorectomy on menopausal symptoms and sexual function in women who carry a BRCA mutation. Gynecol Oncol 2011; 121: 163-168 doi:10.1016/j.ygyno.2010.12.326
• 62 Ratnavelu ND, Brown AP, Mallett S. et al. Intraoperative frozen section analysis for the diagnosis of early stage ovarian cancer in suspicious pelvic masses. Cochrane Database Syst Rev 2016; (03) CD010360
• 63 Brunner AH, Polterauer S, Tempfer C. et al. The accuracy of intraoperative frozen section of the inguinal sentinel lymph node in vulvar cancer. Anticancer Res 2008; 28: 4091-4094
• 64 Tu H, Huang H, Gu H. et al. Investigation of individualized treatment based on sentinel lymph node biopsy for early-stage vulvar cancer. Zhonghua Fu Chan Ke Za Zhi 2015; 50: 596-602
• 65 Turnbull H, Burbos N, Abu-Freij M. et al. A novel approach to postoperative bladder care in women after radical hysterectomy. Arch Gynecol Obstet 2012; 286: 1007-1010 doi:10.1007/s00404-012-2393-4
• 66 Diagnosis and treatment of the pelvic organ prolaps. Guideline of the German Society of Gynecology and Obstetrics (S2e-Level, AWMF Registry No. 015/006, April 2016.
• 67 Caquant F, Collinet P, Debodinance P. et al. Safety of trans vaginal mesh procedure: Retrospective study of 684 patients. J Obstet Gynaecol Res 2008; 34: 449-456 doi:10.1111/j.1447-0756.2008.00820.x
• 68 Dwyer PL, OʼReilly BA. Transvaginal repair of anterior and posterior compartment prolapse with Atrium polypropylene mesh. BJOG 2004; 111: 831-836
• 69 Flynn MK, Weidner AC, Amundsen C. Sensory nerve injury after uterosacral ligament suspension. Am J Obstet Gynecol 2006; 195: 1869-1872
• 70 Enzelsberger H, Schalupny J, Heider R. et al. TVT versus TOT – eine prospektiv randomisierte Studie zur operativen Behandlung der weiblichen Stressinkontinenz. Geburtshilfe Frauenheilkd 2005; 65: 506-511 doi:10.1055/s-2005-837654
• 71 Richter HE, Albo ME, Zyczynski HM. et al. for the Urinary Incontinence Treatment Network. Retropubic versus transobturator midurethral slings for stress incontinence. N Engl J Med 2010; 362: 2066-2076 doi:10.1056/NEJMoa0912658
• 72 Farthmann J, Watermann D, Erbes T. et al. Functional outcome after pelvic floor reconstructive surgery with or without concomitant hysterectomy. Arch Gynecol Obstet 2015; 291: 573-577 doi:10.1007/s00404-014-3435-x