Stationary replacement technologies in the surgical treatment of simultaneous pathology in gynecological patients

• Main Authors: A. N. Shikhmetov, L. A. Osin, A. M. Zadikyan, A. A. Pazichev
• Format: Article
• Language: Russian
• Published: Remedium Group LTD 2018-06-01
• Series: Амбулаторная хирургия
• Subjects: симультанные операции; сочетанная гинекологическая и хирургическая патология; лапароскопия; стационарозамещающие технологии; стационар кратковременного пребывания; simultaneous operations combined gynecological and surgical pathology; laparoscopy; stationary substitution technologies
• Online Access: https://www.a-surgeon.ru/jour/article/view/110

The authors analyzed the results of simultaneous operations in 238 patients with regard to the combined surgical and gynecological pathology performed in the hospital-replacing environment of the ВСDС of PAO «Gazprom». Previously, all patients were assigned to the sequence of stages, the location of trocars, taking into account the additional stages of the operation, the position of the monitor, the location of the operating team, the position of the patient on the operating table during each stage. Performing simultaneous laparoscopic operations does not lead to an increase in the number of intra- and postoperative complications in comparison with isolated interventions and is not accompanied by great technical difficulties, but causes a somewhat longer duration (on average, 20.6 ± 1.5 min), which, in our opinion , is not critical for anesthesia. There were no significant differences in the course of the early postoperative period and the intensity of the functional systems of the body. Advantages of simultaneous operations are undeniable: two or three surgical diseases are cured simultaneously, progression or serious complication of the disease is prevented, operative treatment of which would be postponed for a later period, the risk of repeated surgery and anesthesia is eliminated, the time of total stay of the patient in the hospital and subsequent treatment is reduced, economic efficiency of treatment is increased.