ONE-TIME ENDOVIDEOSURGICAL INTERVENTIONS IN THE TREATMENT OF UROLOGICAL DISEASES

Simultaneous operations (SO), provided that each aspect of their implementation is sufficiently developed, can be an ideal treatment option for concomitant surgical diseases, including kidney and urinary tract. However, at present, SO are performed only in 1.5–6.0% of patients requiring in such interventions. The purpose of this study. The comparative study of the perioperative results of simultaneous interventions and the corresponding isolated operations on the organs of the genitourinary system. In each case the following indexes were analyzed: operative time (min), blood loss volume (ml), the urethral catheterization time (min), the frequency of infectious and inflammatory complications occurrence in the genitourinary system organs in the immediate postoperative period (%), postoperative hospital stay (the number of postoperative bed-days), the duration of the anesthesia induction and the period of awakening (in case of endotracheal anesthesia). The research method was a retrospective analysis of the surgical treatment perioperative results of 5748 patients of the St. Petersburg State Budgetary Institution of Health Clinical Hospital of St. Luke. Results. The advantages of simultaneous interventions over two - and more-stage urological interventions in terms of the duration of interventions, the volume of intraoperative blood loss, the frequency of infectious and inflammatory complications from the urogenital system in the early postoperative period, and other studied indicators were revealed. Conclusion. The results of the study fully confirm the thesis of the feasibility, legitimacy and need for wider use of simultaneous interventions in the elective surgical treatment of combined diseases of the urological profile.