Simultaneous minimally invasive operations in coloproctological patients with combined surgical diseases on an outpatient basis

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Introduction . Due to the active introduction of high-tech minimally invasive surgical interventions into clinical practice, there has been a noticeable increase in the interest of surgeons in simultaneous surgeries in recent years. This is particularly true for the possibilities of performing simultaneous minimally invasive surgeries on an outpatient basis. Aim . To evaluate the clinical effectiveness of simultaneous operations in coloproctological patients with various combined surgical diseases in an outpatient hospital. Materials and methods. A simple observational prospective-retrospective study design was applied (for the period from January 2021 to December 2024).The results of simultaneous surgeries performed in hospital-free conditions in 205 patients with a combination of various coloproctological diseases (chronic hemorrhoids of stages II–III – 113 (55.1%) patients, chronic anal fissure – 50 (24.4%) patients, pilonic cysts of the coccyx – 31 (15.1%) patients,low transsphincteric anorectal fistulas – 11 (5.4%) patients) with other surgical pathologies were analyzed. In 38(18.5%) patients, coloproctological diseases were combined with abdominal wall hernias, in 91(44.4%) – with urological pathology, and in 76 (37.1%) – with gynecological diseases. Results . Simultaneous surgeries in coloproctology patients with various combined surgical diseases were not accompanied by additional technical difficulties, did not significantly increase trauma of the surgery, and did not have a decisive impact on the anesthetic support. The median duration of the surgical intervention was 55 (48; 62) minutes. No serious intraor postoperative complications were observed. The average hospital stay for patients after simultaneous surgeries was 12 (8; 24) hours. Conclusion . The results we obtained indicate the effectiveness of simultaneous operations in coloproctological patients with various combined surgical pathologies, which allows us to reasonably recommend the use of minimally invasive inpatient-substituting surgical technologies in outpatient coloproctology.

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