[Surgical gynecology today and tomorrow. Leading presentation of the 13th Academic Congress of German-Speaking University Faculty in Gynecology and Obstetrics, Hannover, 16th-19th May 1993: 1: Oncology and urologic gynecology].

It is shown how in gynaecologic oncology, proceeding from former standardized techniques, an individualized multimodal therapeutic concept has been developed. New aspects are introduced concerning diagnosis and treatment in the field of operative urogynaecology. The world-wide problem of performing poorly indicated hysterectomies is also addressed. Dynamic developments in the field of out-patient surgery will become an increasing challenge in the near future, influencing obstetrics and gynaecology to an extent that cannot at present be foreseen for the middle and long range. The forced evolution of conventional and laser-assisted laparoscopic surgery resulted in a nowadays broad spectrum of laparoscopically practicable surgical interventions, which made, even if still questioned by some experts, the vaginally assisted laparoscopic hysterectomy possible.