Surgical aspects of a comorbid pathology: simultant operations during laparoscopic hernioplasty
Abstract
Objective. Studying of rate of coexistent surgical pathology and simultant operations during laparoscopic treatment of hernias of various localization.
Маterials and methods. Rate and structure of simultant operations during laparoscopic hernioplasty, conducted in 222 patients during 2016 – 2018 yrs, were analyzed.
Results. Simultant operations were performed in 54.2% patients. In structure of simultant operations laparoscopic cholecystectomy and adhesiiolysis have prevailed. Оperations for coexistent gynecological and urological pathology have constituted 21% of general quantity of simultant operations. Essential impact of simultant operations on the morbidity rate and stationary stay of the patients was not established.
Conclusion. In patients, to whom hernioplasty must be done, a detailed preoperative examination with the help of other specialists ought to be accomplished. While presence of combined surgical pathology a simultant operative intervention must be done by surgeon’s brigade, who have learned a certain procedure of the operation.
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