Interdisziplinär ausgerichtetes Operationsspektrum in Kooperation von Viszeralchirurgie und Gynäkologie

Gabriele Garlaschelli, Atanas Ignativ, Frank Meyer
In: Die Chirurgie · 2024 · vol. 95(5) , pp. 382–394 · doi:10.1007/s00104-024-02033-w · PMID:38294496 · W4391387665
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This review outlines gynecological and visceral surgical pathologies that necessitate interdisciplinary collaboration for optimal patient outcomes.

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Abstract

AIM: This short overview aims to concisely outline the most important gynecological issues from a predominantly operative point of view, which could also be relevant for general and abdominal surgeons as well as important gynecological aspects of primarily visceral surgical pathologies. METHOD: Narrative review on the topic of interdisciplinary cooperation in gynecological/general and abdominal surgery through the use of PubMed® as well as the Cochrane Library with search terms, such as "operative profile of abdominal surgery and gynecology", "interdisciplinary surgery aspects of gynecology/abdominal surgery" as well as "interdisciplinary surgical approach-surgical complication". RESULTS (MAIN POINTS): As the close anatomical relationship suggests, numerous primarily gynecological pathologies can also occur in abdominal organs. Likewise, predominantly surgical pathologies can result in involvement of gynecological organs. This can make an intraoperative collaboration necessary. In addition, as a result of diagnostic uncertainty or within the context of complications, interdisciplinary collaboration can also be required preoperatively and postoperatively. Multidisciplinary knowledge as well as close cooperation of the involved specialties can improve the outcome of affected patients. CONCLUSION: Many pathologies extend not only to the boundaries of an individual discipline but can also affect physiological systems exceeding those limits. Therefore, for an optimal treatment it is necessary to be aware of such aspects of the diseases and to establish structured procedures for interdisciplinary cooperation.
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Abstract

Interdisciplinary surgical spectrum in cooperation of abdominal surgery and gynecology. What must the (general/abdominal) surgeon know? Aim:Thisshortoverviewaimstoconciselyoutlinethemostimportantgynecological issuesfromapredominantly operative point ofview, which couldalsoberelevant forgeneral and abdominalsurgeons aswellasimportant gynecological aspects of primarilyvisceralsurgicalpathologies.

Method

Narrative review on the topic of interdisciplinary cooperation in gynecological/generalandabdominalsurgerythroughtheuseofPubMed ®aswellas theCochraneLibrarywithsearchterms,suchas“operativeprofileofabdominalsurgery andgynecology”,“interdisciplinarysurgeryaspectsofgynecology/abdominalsurgery” aswellas“interdisciplinarysurgicalapproach–surgicalcomplication”.

Results

(main points): As the closeanatomical relationship suggests, numerous primarilygynecological pathologiescanalsooccurinabdominalorgans. Likewise, predominantlysurgicalpathologiescanresultininvolvementofgynecologicalorgans. This can make an intraoperative collaborationnecessary. In addition, as a result ofdiagnostic uncertainty orwithin the context ofcomplications,interdisciplinary collaborationcanalsoberequiredpreoperativelyandpostoperatively.Multidisciplinary knowledge aswellasclosecooperationofthe involvedspecialties canimprove the outcomeofaffectedpatients. Conclusion:Many pathologies extend not onlyto the boundaries ofan individual disciplinebutcanalsoaffectphysiologicalsystemsexceedingthoselimits.Therefore, foranoptimaltreatmentitisnecessarytobeawareofsuchaspectsofthediseasesand toestablishstructuredproceduresforinterdisciplinary cooperation.

Keywords

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