EVOLUTION OF LAPAROSCOPIC COMBINED SURGERY IN GYNECOLOGY

Abstract

While laparoscopic combined simultaneous operations have become a valuable method in both surgery and gynecology, further research is necessary to optimize their application. These procedures offer several benefits, e. g. minimizing repeat surgeries, reducing associated surgical and anesthetic complications. This approach can decrease emotional stress and prevent the exacerbation of existing medical conditions in the early and later stages after surgery. Patients often experience better physical activity, mental well-being, and social and sexual functioning. Looking back, the development of laparoscopy has spanned over centuries. Tracing its roots back to ancient Greece, the late 1800s saw the contributions of pioneering doctors and inventors like Philip Bozzini, Maximilian Nitze, Georg Kelling, Dmytro Ott, Wilhelm Jacobson, Hans Jacobeus, O. Götze, H. Kalk, B. Bosch, Janos Veres, and Kurt Carl Stefan Zemm. Their discoveries and modifications laid the foundation for the laparoscopic procedures used today. In combined surgeries, two or more coexisting medical conditions are addressed in the same operation. An underlying disease is the one presenting the most significant threat to the patient's health and life regardless of diagnosis, access route, surgical stage, or other factors. In contrast, a secondary, or concomitant, disease poses a lesser threat and might be treatable through a delayed procedure. When planning combined laparoscopic operation, surgeons consider factors like the order of operations, patient positioning, and the specific training and qualifications required. However, the widespread implementation of simultaneous laparoscopic surgeries in gynecology requires careful consideration. While these procedures offer potential advantages like economic feasibility and minimal post-operative complications, ensuring patient safety remains paramount. Further research and careful selection criteria are necessary to determine the appropriate applications and ensure optimal outcomes.