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:
- Military Medical Academy
- Elizavetinskaya hospital
- 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
Cite item
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.
Full Text
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.
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.
About the authors
V. F. Bezhenar
Military Medical Academy
Author for correspondence.
Email: info@eco-vector.com
faculty of obstetrics and gynecology
Russian Federation, Saint PetersburgG. M. Rutenburg
Elizavetinskaya hospital
Email: info@eco-vector.com
Municipal center of laparoscopic surgery
Russian Federation, Saint PetersburgV. V. Strizheletsky
Elizavetinskaya hospital
Email: info@eco-vector.com
Municipal center of laparoscopic surgery
Russian Federation, Saint PetersburgТ. Y. Zhemchuzhina
Elizavetinskaya hospital
Email: info@eco-vector.com
Municipal center of laparoscopic surgery
Russian Federation, Saint PetersburgТ. V. Gordeeva
Regional clinical hospital to №1 named after S.V.Ochapovsky
Email: info@eco-vector.com
Russian Federation, Krasnodar