The opportunities for simultaneous gynecological laparoscopic operations

V. F. Bezhenar; Беженарь В. Ф.; G. M. Rutenburg; Рутенбург Г. М.; V. V. Strizheletsky; Стрижелецкий В. В.; Т. Y. Zhemchuzhina; Жемчужина Т. Ю.; Т. V. Gordeeva; Гордеева Т. В.

doi:10.17816/JOWD87560

The opportunities for simultaneous gynecological laparoscopic operations

Authors: Bezhenar V.F.¹, Rutenburg G.M.², Strizheletsky V.V.², Zhemchuzhina Т.Y.², Gordeeva Т.V.³
Affiliations:
1. Military Medical Academy
2. Elizavetinskaya hospital
3. Regional clinical hospital to №1 named after S.V.Ochapovsky
Issue: Vol 54, No 5S (2005)
Pages: 89-90
Section: Reviews
URL: https://journals.eco-vector.com/jowd/article/view/87560
DOI: https://doi.org/10.17816/JOWD87560
ID: 87560

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Abstract

Urgency of the problem. Extensive introduction of laparoscopy in surgery and operative gynecology, perfection of technique and low traumatic effect of endoscopic operations allow to expand indications for simultaneous laparoscopic interventions involving various abdominal organs.

Keywords

laparoscopy in surgery, operative gynecology, simultaneous laparoscopic operations in gynecology

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Material and methods. In the Municipal center of laparoscopic surgery of Elizavetinskaya hospital of Saint Petersburg we have performed 138 simultaneous laparoscopic interventions. Average age of the women was 36,4 ± 4,8 years.

Results of the study. In 29 cases (21,01%) the laparoscopic hysterectomy (LAVH or TLH) was combined with laparoscopic cholecystectomy in case of cholelithiasis (average duration of the operations was 115,7 minutes, the average number of days spent in the hospital - 4,9). The laparoscopic adnexectomies (cystadenomectomies) in case of benign tumors and tumor-like masses of the ovaries were combined with laparoscopic cholecystectomy in 57 (41,3%) patients (average duration of the operations was 35,4 minutes, the average number of days spent in the hospital - 3,9). In 52 patients (37,7%) the laparoscopic adnexectomies (cystadenomectomies) were combined with hernia repairs in case of incarcerated umbilical (32), femoral (4), inguinal (11) and postoperative ventral hernias (5). In the latter group we preferred to start the operation as a hernia repair and than we have been fixing optical trocar in hernial openings and carried out uterine appendages operation. The hernial openings were also used for removal of a macropreparation from abdominal cavity. The final stage of the operation was hemioplasty. In the postoperative period, there were no complications. The clinical course was typical. Average terms of hospitalization did not significantly differ from the parameters of usual laparoscopic hysterectomy or adnexectomy (cystadenomectomy).

Conclusion. Thus, simultaneous laparoscopic operations allow to carry out simultaneous radicalor reconstructive-plastic surgical treatment of several gynecologic and surgical diseases, it has good cosmetic effect, essentially reduces the terms of postoperative rehabilitation.