{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T01:16:33Z","timestamp":1780362993688,"version":"3.54.1"},"reference-count":46,"publisher":"Akademiai Kiado Zrt.","issue":"28","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,7,1]]},"abstract":"<jats:p>Az endometriosis korszer\u0171 seb\u00e9szi kezel\u00e9s\u00e9nek c\u00e9lja a k\u00e1rosodott kismedencei anat\u00f3mia helyre\u00e1ll\u00edt\u00e1s\u00e1val az endometriosishoz t\u00e1rsul\u00f3 f\u00e1jdalomt\u00fcnetek cs\u00f6kkent\u00e9se, illetve a teherbe es\u00e9si es\u00e9lyek jav\u00edt\u00e1sa. Cikk\u00fcnkben a k\u00fcl\u00f6nb\u00f6z\u0151 elhelyezked\u00e9s\u0171 kismedencei endometriosislaesi\u00f3k elt\u00e1vol\u00edt\u00e1s\u00e1nak m\u0171t\u00e9ti lehet\u0151s\u00e9geit elemezz\u00fck. Az endometriosis seb\u00e9szi kezel\u00e9se d\u00f6nt\u0151en laparoszk\u00f3pia \u00fatj\u00e1n val\u00f3sul meg, m\u00edg a laparotomia alkalmaz\u00e1si k\u00f6re egyre ink\u00e1bb besz\u0171k\u00fclt \u00e9s csak speci\u00e1lis esetekre korl\u00e1toz\u00f3dik. A peritonealis endometriosis laesi\u00f3i reszekci\u00f3, elektrokoagul\u00e1ci\u00f3 vagy l\u00e9zervaporiz\u00e1ci\u00f3 seg\u00edts\u00e9g\u00e9vel kezelhet\u0151k, amelyek azonos m\u00e9rt\u00e9kben cs\u00f6kkentik az endometriosishoz t\u00e1rsul\u00f3 f\u00e1jdalomt\u00fcneteket, illetve jav\u00edtj\u00e1k a teherbe es\u00e9si es\u00e9lyeket. Az endometrioma kezel\u00e9s\u00e9ben hossz\u00fa \u00e9veken \u00e1t k\u00e9tf\u00e9le m\u0171t\u00e9ti megold\u00e1s terjedt el; a cisztatok elt\u00e1vol\u00edt\u00e1sa az \u00fagynevezett strippingtechnika seg\u00edts\u00e9g\u00e9vel, valamint a cisztatok megsz\u00fcntet\u00e9se az ablati\u00f3s m\u0171t\u00e9ti technik\u00e1val. Napjainkra egy\u00e9rtelm\u0171en bebizonyosodott, hogy a stripping el\u0151ny\u00f6sebb az endometrioma ablati\u00f3j\u00e1val szemben mind a f\u00e1jdalomt\u00fcnetek cs\u00f6kken\u00e9se, mind a reprodukt\u00edv funkci\u00f3k szempontj\u00e1b\u00f3l. A m\u00e9lyen infiltr\u00e1l\u00f3 endometriosis kezel\u00e9se jelenti a legnagyobb kih\u00edv\u00e1st az endometriosis seb\u00e9szet\u00e9ben. A m\u00e9lyen infiltr\u00e1l\u00f3 laesi\u00f3k elt\u00e1vol\u00edt\u00e1s\u00e1ban a l\u00e9zertechnika alkalmaz\u00e1s\u00e1nak jut f\u0151szerep. A rectovaginalis septum endometriosisa eset\u00e9n l\u00e9zer seg\u00edts\u00e9g\u00e9vel a m\u00e9lyen infiltr\u00e1l\u00f3 laesio biztons\u00e1ggal \u00e9s marad\u00e9ktalanul elt\u00e1vol\u00edthat\u00f3. B\u00e9lendometriosis eset\u00e9n az \u00e9rintett b\u00e9lszakaszt szegment\u00e1lis reszekci\u00f3val, discreszekci\u00f3val vagy az \u00fagynevezett shavingtechnik\u00e1val t\u00e1vol\u00edthatjuk el. Leggyakrabban a szegment\u00e1lis reszekci\u00f3t alkalmazzuk, mivel egyed\u00fcl ez esetben biztos\u00edthat\u00f3 a reszekci\u00f3s sz\u00e9l biztos \u00e9ps\u00e9ge. Az ureter endometriosisa eset\u00e9n kisfok\u00fa \u00e9rintetts\u00e9g mellett ureterolysis, m\u00edg obstrukt\u00edv uropathia fenn\u00e1ll\u00e1sakor az ureter reszekci\u00f3ja javasolhat\u00f3. Az endometriosishoz t\u00e1rsul\u00f3 f\u00e1jdalom hat\u00e9konyabb cs\u00f6kkent\u00e9s\u00e9t c\u00e9lozza a praesacralis neurectomia \u00e9s az uterusidegrost-ablatio. Ezen beavatkoz\u00e1sok klinikai eredm\u00e9nyess\u00e9ge azonban nem egy\u00e9rtelm\u0171, az endometriosis kezel\u00e9s\u00e9ben bet\u00f6lt\u00f6tt pontos szerep\u00fck tiszt\u00e1z\u00e1sa tov\u00e1bbi vizsg\u00e1latokat ig\u00e9nyel. Az endometriosis seb\u00e9szet\u00e9ben a folyamatosan fejl\u0151d\u0151 m\u0171t\u00e9ti technik\u00e1k az endometriosislaesi\u00f3k egyre teljesebb \u00e9s hat\u00e9konyabb elt\u00e1vol\u00edt\u00e1s\u00e1t teszik lehet\u0151v\u00e9, amelynek k\u00f6sz\u00f6nhet\u0151en egyre eredm\u00e9nyesebben kezelhet\u0151k az endometriosishoz t\u00e1rsul\u00f3 klinikai t\u00fcnetek \u00e9s cs\u00f6kkenthet\u0151 a betegs\u00e9g ki\u00fajul\u00e1s\u00e1nak vesz\u00e9lye.<\/jats:p>","DOI":"10.1556\/oh.2010.28904","type":"journal-article","created":{"date-parts":[[2010,6,23]],"date-time":"2010-06-23T02:51:14Z","timestamp":1277261474000},"page":"1137-1144","source":"Crossref","is-referenced-by-count":12,"title":["Treatment of endometriosis with laparoscopic surgery today"],"prefix":"10.1556","volume":"151","author":[{"given":"Enik\u0151","family":"Berkes","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Baross u. 27. 1088"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"Bokor","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Baross u. 27. 1088"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e1nos","family":"Rig\u00f3","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Budapest Baross u. 27. 1088"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1111\/j.1471-0528.1990.tb01746.x","volume":"97","year":"1990","journal-title":"Br. J. Obstet. 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