Hesseling M, De Wilde R L
Frauenklinik, Bethesda-Krankenhauses, Wuppertal.
Chirurg. 1993 Jul;64(7):560-4.
Following the routine use of the diagnostic-operative laparoscopy in the surgical diagnosis and therapy of the lower abdominal pain, the surgeon is confronted with a plethora of gynecological diseases. Due to the unknown appearance, suboptimal therapy follows. Intra-operative consultation of a gynecologist does not necessarily bring the expected solution as there is a lack of gynecological anamnesis and preoperative examination. To avoid insufficient endosurgical diagnosis, therapeutical failures and iatrogenic infertility, the gynecological diagnosis scheme with subsequent therapy is described. Completing the preoperative diagnostics by a gynecological investigation can improve endosurgical treatment and avoid second-look surgery.
在诊断性手术腹腔镜常规用于下腹部疼痛的外科诊断和治疗之后，外科医生面临着众多妇科疾病。由于外观不明，后续治疗并不理想。术中咨询妇科医生不一定能带来预期的解决方案，因为缺乏妇科病史和术前检查。为避免内镜手术诊断不足、治疗失败和医源性不孕，本文描述了后续治疗的妇科诊断方案。通过妇科检查完善术前诊断可以改善内镜手术治疗并避免二次探查手术。
