Laparoscopic simultaneous operations in patients with hernias of various location and comorbid pathology

Abstract

Aim. The study of the frequency of concomitant surgical pathology and simultaneous operations during videolaparoscopic treatment of hernias of different localization and evaluate of the results of surgical treatment of patients with comorbid pathology.Materials and methods. A prospective study was conducted on 222 patients with comorbid pathology. All patients were divided into two groups. The main group included 120 patients with hernias, who in addition to videolaparoscopic hernioplasty, performed simultaneous operations. The comparison group included 102 patients who performed only videolaparoscopic hernioplasty. In the course of this study, the following parameters were evaluated: frequency and structure of simultaneous operations, duration of operations, intraoperative and early postoperative complications.Results. Comorbid pathology was diagnosed in 146 patients (52.3%). These patients underwent 194 simultaneous operations: cholecystectomy – 91 (46.9%); adnexectomy – 14 (7.2%); hysterectomy – 12 (6.1%); varicocelectomy – 8 (4.1%); adhesiolysis – 49 (25.2 %); appendectomies – 13 (6.7%); fenestration of cysts of the liver or mesentery – 7 (3.8%).Conclusion. The effectiveness of simultaneous operations is not limited to purely economic indicators, it is projected to affect during the postoperative period.

Keywords

• simultaneous operations
• comorbid pathology
• laparoscopic surgery
• hernioplasty