SOCIAL AND ECONOMIC EFFECTIVENESS OF THE INTRODUCTION OF COMBINED SINGLE-STAGE SURGICAL INTERVENTIONS

• Main Authors: N.Y. Kondratyuk, O. O. Litvak
• Format: Article
• Language: English
• Published: State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department 2021-02-01
• Series: Клінічна та профілактична медицина
• Subjects: cost-effectiveness, momentary surgical interventions, gynecological practice, inpatient care.
• Online Access: http://cp-medical.com/index.php/journal/article/view/147

In gynecological practice, due attention is paid to increasing the efficiency of institutions and organizations for surgical treatment of patients, in particular, rational use of hospital beds, reducing the economic cost of operations and rehabilitation of patients, reducing the time of hospitalization and incapacity for work, besides the above, the expediency of expanding the scope of surgical intervention is also increasing. The aim of the study is to prove the economic feasibility of combined single-stage surgical interventions in gynecological patients. Materials and Methods. The study was based on a retrospective analysis of the immediate results of surgical treatment of 50 women with uterine myoma operated on using combined (hystero-, laparo-) access and intracorporeal continuous suturing of the node bed (an innovative proposal) in the Scientific and Research Center SIS RPCPCM SAD. The results were in comparison with the same number of patients who underwent isolated operations of laparoscopy and hysteroscopy. Study results and discussion. As a result of the calculations, it was established that the total economic effect of the treatment using a combined one-stage operation was 8765.37 hryvnias per patient. This confirms the economic feasibility of this type of surgery compared to the two isolated ones. Conclusions. The results of the study indicate the economic feasibility of performing a combined one-stage hysteroscopy and laparoscopy for uterine myoma.