[A preoperative diagnostic concept for determining the extent of laparoscopic surgery of the adnexa]

The operative laparoscopic therapy of pre- and postmenopausal adnexal tumors has become more and more important in routine gynecological surgery. Careful evaluation of malignancy criteria by preoperative diagnostics decides whether endosurgical treatment or laparotomy should be performed. Preoperative diagnostic measurements must secure a safe and efficient endosurgery without any negative financial impact due to unnecessary explorations. The proposed diagnostic concept offers maximal security with minimal investigations.