Simultaneous operations: Synergy in surgery

Introduction. Medicine is developing rapidly, and surgery is one of its most important areas. A new achievement has been the practice of simultaneous operations – multiple interventions simultaneously or in a short period of time. This opens up new opportunities for patients and doctors. However, the introduction of simultaneous treatment is hampered by economic factors, as insurance companies pay for only one intervention. The decision is made in favor of modern technologies that benefit patients and the state. Materials and methods. The results of surgical treatment of 224 patients with vascular pathology and other surgical diseases were analyzed. The operations were performed from 2020 to 2024 in the departments of surgery of the State Medical Institution "Surgical Center" and cardiovascular surgery of the Republican Clinical Hospital on the basis of the Department of Hospital Surgery of the Kabardino-Balkarian State University named after H.M. Berbekov. In the comparison group (110 patients), staged operations were performed. Results. The analysis of the perioperative period revealed no significant difference in the parameters of simultaneous operations: duration, blood loss, increased dose of catecholamines, rhythm disturbances, duration of artificial ventilation and hospital stay. Conclusion. Simultaneous operations do not lead to an increase in the number of complications and mortality, even in complex pathologies. The use of simultaneous operations makes it possible to provide highly qualified surgical care, reduce the number of complications and shorten the hospital stay.