The ways of optimizing the simultaneous treatment of associated surgical pathology

Gumenyuk Lesya Nikolaevna, Gerbali Oksana Yurievna

Despite the advantages of traditional laparoscopy over the "open" simultaneous ones, there is a continuing tendency to search for lowering the traumaticity of this technique. One of the ways to solve this issue is the introduction of the "single port" technique, which has recently been attracting a considerable interest from both surgeons and gynecologists. From the year 2014 to the year 2017 simultaneous laparoscopic cholecystectomy with ventral hernia repair and wedge resection of the ovaries was performed in 34 patients, 17 of them (50.0 %) - with the single access (group I) and 17 (50.0 %) – with the traditional 4-port LD. The women were aged 25 to 60, which makes 44.5±8.1 on average. It was found that the technique of the single laparoscopic access in the performance of simultaneous operations of patients with cholecystitis, postoperative ventral hernia and endometrioid cysts has an obvious advantage: it allows to carry out interventions at the safest level, reduces the intensity of postoperative pain, reduces the period of the patient’s stay in hospital, reduces the economic costs and complies with the current tendency to achieve the best cosmetic effect.

Keywords:simultaneous operations, single port, cholecystitis, postoperative ventral hernia, endometrioid cyst.