[The operative treatment of endometriosis externa (author's transl)]

The difficulty of pretherapeutic demonstration of endometriosis externa (at best about 50% correct diagnoses) requires histological confirmation. This demands a surgical procedure in which is best to remove all the endometrioses. The radical treatment accompanying elimination of ovarian function is largely unproblematic. Therapy with modern drugs and also surgery may fail in the conservative procedure; The combined operative and medicinal therapy integrate the advantages of both methods and cancel out their disadvantages. The significant role of the vaginal operation, especially of the diagnostic and therapeutic operation oposterior colpocoeliotomy is emphasized.