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CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2023; 83(01): 79-87
DOI: 10.1055/a-1799-2658
GebFra Science
Review

Surgical Treatment of Deep Endometriosis

Article in several languages: English | deutsch
Nora Frumkin
1   Klinik für Gynäkologie und Geburtshilfe, Endometriosezentrum, Martin Luther Krankenhaus, Johannesstift Diakonie, Berlin, Germany (Ringgold ID: RIN303449)
,
Rasmus Schmädecker
1   Klinik für Gynäkologie und Geburtshilfe, Endometriosezentrum, Martin Luther Krankenhaus, Johannesstift Diakonie, Berlin, Germany (Ringgold ID: RIN303449)
,
Ricarda Isermann
1   Klinik für Gynäkologie und Geburtshilfe, Endometriosezentrum, Martin Luther Krankenhaus, Johannesstift Diakonie, Berlin, Germany (Ringgold ID: RIN303449)
,
Jörg Keckstein
2   Endometriosezentrum Ordination Dres. Keckstein, Villach, Austria
,
Uwe Andreas Ulrich
1   Klinik für Gynäkologie und Geburtshilfe, Endometriosezentrum, Martin Luther Krankenhaus, Johannesstift Diakonie, Berlin, Germany (Ringgold ID: RIN303449)
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Abstract

In deep endometriosis (DE), clusters of endometrium-like cells penetrate more than 5 mm below the peritoneum: The affected organs and tissue structures can eventuate in an alteration of the anatomy with eliminated organ boundaries, which in some cases can pose a real surgical challenge, even for experienced surgeons. A comprehensive description of the different manifestations of the disease can be found in the #Enzian classification. Since the operation is usually the foundation for the successful treatment of DE, what is important are conclusive indications, appropriate preoperative preparation and, above all, appropriate experience on the part of the surgical team. This article aims to provide a review of the surgical options that are currently available.

Keywords

endometriosis - deep endometriosis - #Enzian - laparoscopic surgery - ultrasound


Publication History

Received: 10 July 2022

Accepted after revision: 08 November 2022

Article published online:
11 January 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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