Retrospective analysis, state and challenges of endoscopic and miniinvasive surgery in the Odessa National Medical University (1975-2012)

Abstract

Endoscopy is an exclusive tool of modern medicine and a priority direction of scientific and medical activity of the Obstetrics and Gynecology Department of the Odessa National Medical University, the leading recognized center of endoscopic surgery of Ukraine. The first endoscopic operations in Odessa gynecologic clinics were implemented at the end of 70th years last century, videoendoscopic — since 1992. Alongside with cryosurgical techniques, we have started operative endoscopy interventions using high-frequency currents, laser energy, and other newest mechanical tools and manipulations. We have analyzed more than 35-year period of formation and development of endoscopic gynecologic surgery at the Odessa National Medical University. We have studied more than 20,000 gynecologic endoscopic interventions, considering indications to operations, analyzed their types during a certain period, and specific complications of video-endoscopic interventions, that were executed in gynecologic clinics of Odessa. The retrospective analysis of endoscopic interventions of more than 35 years’ period shows stable dynamics of increase in number of endoscopic interventions, especially during last ten years. Substantially it is connected with improvement of endoscopic operational equipment, introduction of modern operative endoscopic techniques, improvement of qualification and accumulation of experience of gynecologic endoscopic surgeons. Complications rate during operative laparoscopy was near 1%. The gained experience in the field of endoscopic surgery in gynecology was the background for foundation of the Educating and Training Center since 2001, organization of conferences and master-classes, cooperation with the leading centers of endoscopic surgery, cooperation with the world leading centers of endoscopic surgery.

Эндоскопия является приоритетным направлением научной и лечебной деятельности Одесского национального медицинского университета — ведущего центра эндоскопической хирургии Украины. Первые эндоскопические операции в Одессе были выполнены в гинекологической клинике в конце 70-х годов прошлого века, видеоэндоскопические — в 1992 г. За 35-летний период становления и развития эндоскопической гинекологической хирургии в Одесском национальном медицинском университете проанализировано более 20 000 гинекологических эндоскопических и малоинвазивных вмешательств. Увеличение количества операций и снижение числа осложнений связаны как с усовершенствованием оборудования, так и с повышением квалификации хирургов. Этому в значительной мере способствовали создание учебного и тренировочного центра эндоскопической и малоинвазивной хирургии в 2001 г., проведение конференций, мастер-классов, cотрудничество с ведущими эндоскопическими центрами мира.