Experience in the use of simultaneous operations in dermatology and cosmetology

Abstract

Background. Simultaneous (combined, simultaneous) operations are operations in which up to five different surgical procedures are performed simultaneously during one surgical intervention. According to WHO statistics, about a third of all surgical patients need simultaneous operations. A feature of medical interventions in dermatovenereology and cosmetology is the unwillingness and unwillingness of the patient to experience tangible pain discomfort during the procedures. The arsenal of modern cosmetology is constantly replenished with technologies that not only provide convincing clinical effects, but are also capable of provoking a negative psycho-emotional state in a patient who undergoes certain painful manipulations. Aims. To reflect the experience of a private medical organization, which is one of the first in the country to actively introduce simultaneous surgery in dermatology for several years. Materials and methods. Clinical observation, examination results. Results. In 2022, 32 surgical interventions were performed simultaneously with a dermatovenereologist in this clinic. Also, the clinic regularly performs simultaneous operations in the following combinations: hysteroscopy (with or without curettage) + removal of benign melanocytic/non-melanocytic skin tumors; surgical treatment of hemorrhoids + removal of papillomas/nevi; surgical treatment of anal fissure + removal of papillomas/nevi; laser vaporization of the pilonidal sinus + removal of genital warts; laparoscopic cholecystectomy + removal of nevi. Conclusion. The use of simultaneous operations in dermatovenerological practice is economically justified and justified, taking into account the modern possibilities of anesthetic care, improving their technical and medical support. Simultaneous combined operations exclude psycho-emotional experiences of the forthcoming repeated surgical intervention in patients and allow the surgeon to conduct high-quality medical interventions in a comfortable environment.