EVALUATION OF THE RESULTS AND PROSPECTS FOR PERFORMING VIDEO-ENDOSCOPIC SIMULTANEOUS OPERATIONS IN SURGICAL PATIENTS
About the author:
Dudchenko M. O., Ivashchenko D. M.
CLINICAL AND EXPERIMENTAL MEDICINE
Type of article:
Despite the widespread use of laparoscopic surgery around the world, which has already become the standard for most basic surgical interventions, the possibilities for performing more extensive intraoperative imaging of body cavities, establishing more accurate diagnosis and pathology search, we should explore the possibilities of this type of surgery when a patient have more than one detected intraoperative pathology. The aim of the study was to improve the results of treatment of surgical patients by comparing the effect of simultaneous surgical interventions on the quality of the postoperative course and later life and the possibility of their use in clinical practice. In order to assess the effect on the postoperative period of simultaneous interventions in the abdominal cavity during laparoscopy, we analyzed the clinical data of patients who underwent simultaneous endovideoscopic operations at the Department of Surgery № 4 and compared them with traditional laparoscopic interventions in the presence of one pathology. The obtained data showed that during simultaneous operations, the total time did not exceed the time of traditional operations separately due to the lack of the need for rearrangement of trocars and the use of some ports for both interventions, the volume of blood loss was less than with two separately considered interventions. Simultaneous operations had no effect on the duration of the pain syndrome, which is due to the small size of the incisions on the abdominal wall. Also, the time of activation of the patient did not change, and a slight increase in hospital stay was not associated with the clinical situation but rather with reshuffling due to the small experience of such interventions. According to the data obtained, it can be concluded that simultaneous operations had a postoperative period similar to traditional interventions, there was no development of complications or adverse events. In the presence of clinical indications, conditions and technical means for carrying out surgery, the presence of an appropriate qualified specialist simultaneous operations can have a positive impact on the course of the postoperative period, and their effectiveness is beyond question. In the future, it is planned to increase the volume of the studied patients and analyze the impact of simultaneous operations on laboratory parameters and to determine clear recommendations for such operations.
simultaneous operations, laparoscopy.
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Publication of the article:
«Bulletin of problems biology and medicine» Issue 2 Part 2 (151), 2019 year, 110-113 pages, index UDK 617-7:616-072.1