[Endoscopic methods in gastroenterology and gynecology. Completion of diagnostic pelviscopy by endoscopic abdominal surgery].

Diseases affecting the female reproductive organs often raise differential-diagnostic problems in the field of gastroenterology. Diagnostic pelviscopy represents the most reliable means for the diagnostic clarification of alterations of the adnexa, appendicitis irritable colon, genital endometriosis etc. Today, 10 years after its development this technique, which usefully supplements the x-ray and ultrasonic examination, has advanced so far that immediately after the diagnostic procedure, surgical therapy follows in a high percentage of cases during the same procedure. Thus in Kiel surgical pelviscopy replaces today till 50% of the classic laparotomies (e.g. adhaesiolysis, adnexectomy, myoma-enucleation, coagulation of endometriotic spots, appendectomy, fimbrioplasty, salpingostomy etc.). As a result not only is the duration of ectopic diseases considerably shortened but also the hospitalization time and in particular the time of convalescence is also reduced to a minimum.