Combined operations at the Medical Club clinic: health in one hospitalization

Quite often, patients turn to specialists not with one, but with several problems at once, the solution of which is possible surgically. Combined operations – this is a great opportunity for the patient to solve several of his problems for one anesthesia. The possibility of such operations exists in the clinic Medical Club, where experienced and highly qualified  specialists offer the patient the best treatment option.

Especially for the readers of estet-portal.com, a surgeon of the highest category Oleg Vladimirovich Nikonyuk shared his own rich experience & nbsp; carrying out combined operations.

Oleg Vladimirovich, tell our readers what combined operations are?

Simultaneous or combined operations – These are operations that are performed on two or more organs for different diseases that are not related to each other. Combined operations have existed in medicine for a long time, and earlier they were used, most often, for injuries of different zones and organs. In plastic surgery, they are also widely used today. These can be simultaneous only plastic surgeries: for example, simultaneous operations on the face, chest, abdomen, or a combination of plastic surgeries with interventions for surgical, urological, proctological, gynecological, phlebological and other pathologies. At the Medical Club clinic, we examine the patient, and if an additional pathology or problem is found, if his condition allows, 

What combined surgeries do you most often perform at the Medical Club clinic?

Combinations can be varied. For example, during abdominoplasty, patients often have umbilical hernias, incisional hernias, or diastasis of the rectus abdominis muscles. During abdominoplasty or liposuction, it is also possible to perform surgical plastic surgery. Often there is varicose veins, which can be combined with mammoplasty, abdominoplasty, facial surgery, and so on. In addition, traditional surgeries can be combined with minimally invasive procedures such as gallbladder removal and abdominoplasty.

Is there any maximum: how many zones can be operated on simultaneously with combined surgery?

The opportunity will be determined by many factors, such as the patient's age, comorbidities, and so on. All this is discussed together with anesthesiologists, and a decision is made based on the results of the examination of the patient and the determination of his concomitant diseases, physical condition, and the estimated duration of the operation.

It is impossible to operate for the sake of operating, there must be a reasonable, and most importantly safe for the patient's health, combination.

If the functional state of the patient's body allows a certain duration of anesthesia – we do not go beyond these limits.

What is the average duration of a simultaneous operation?

It depends on what combination of surgical interventions is supposed. The combined operation can last from one hour to 5-6 hours.

Tell us about the main advantages of having combined surgery at the Medical Club clinic?

First of all, if the patient has several problems, for example, aesthetic and health problems, we provide the opportunity to solve them in one hospitalization. Before any operation, the patient will definitely need to undergo a preoperative examination, and a simultaneous operation involves laboratory and instrumental examinations once, while when dividing these operations into several stages, the analyzes will need to be repeated.  In addition, each hospitalization for surgery – This is an additional psycho-emotional burden and stress for the patient. If we talk about rehabilitation, then when a person goes for a combined operation, he lays in his schedule for the future that he needs to fall out of the rhythm for several weeks, for example, take a vacation. If the patient solves his health problems within a year – he will need to cut out the same 2-3 weeks for rehabilitation several times after each intervention. Another advantage – this is the price. Simultaneous operation cost  will be cheaper than adding up the cost of individual transactions.

{loadposition medicalclub}The question that worries all patients: what is the intensity of the pain syndrome after combined surgery?

The intensity of the pain syndrome depends on how traumatic the surgery was. After a simultaneous operation, the pain syndrome can be much less intense and pronounced than after a more traumatic surgical intervention, even in one area.

Simultaneous surgery may be less painful for the patient than surgery alone.

For example, if an abdominoplasty and gynecological surgery was performed – a special increase in the dosage of analgesics is not expected, because, as a rule, all pain will be caused precisely by abdominoplasty. In addition, each patient has his own pain threshold, and some people refuse painkillers from the next day, and some, with the same volume of surgery, need pain relief for several days. This is all individual, and not the simultaneity of the operation to a greater extent affects the doses and duration of anesthesia.

How are the specialists of the Medical Club clinic preparing for the  combined operation?

We collectively choose the most optimal variant of our cooperation. We discuss at the council the sequence of work of specialists, taking into account more “cleaner” operations, depending on which areas need to be operated on. In this regard, an operation plan is being developed, and we will definitely discuss with the patient the possibility, if necessary, of changing its course, which is carried out together with the anesthesiologist.  The plan, course, sequence of the combined operation are discussed together and the optimal ratio is selected. Either one team can operate, or the teams change sequentially, and at some stages, if sufficiently remote areas are operated on, it is possible to carry out the operation even with two teams at the same time.