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Objective: comparative analysis of the postoperative outcome of combined surgery for concomitant abdominal and pelvic (gynecological) pathology   Methods: Overall, 346 surgical patients with concomitant abdominal and gynecological surgical diseases were analyzed retrospectively in postoperative period. Results: In the early postoperative period complications developed in groups of extreme high and high operational-anesthetic risk (ASA III and ASA IV). Conclusion:     According to results of our study, combined surgical interventions especially those performed from a single surgical approach, slightly increase the severity of the operation compared to isolated interventions performed for the same underlying diseases.

Objective: Venous thromboembolism (VTE) in the form of either pulmonary embolism (PE) or deep vein thrombosis (DVT) complicates major surgery not infrequently. We analyzed in this study superiority of combined approach of thromboprophylaxis compared to conventional nonpharmacological preventive sets. Methods: We prescribed both pharmacological and non-pharmacological thromboprophylactic interventions for patients encountered thoracoabdominal surgery from 2013 to 2018 at clinic named after I.K.Akhunbaev of Bishkek city and Interregional United Clinical Hospital of Osh city. Demographic characteristics and clinical examination data were evaluated. Thrombogenic risk for every patient was assessed. Screening for detection of VTE was conducted in early postoperative period. Results: Two hundred forty-six candidates of abdominal and thyroid surgery were divided into 2 groups according to patient preference for prevention modality: combined and non-pharmacological. In the early postoperative period, venous thrombosis of the lower extremities developed in 17 patients non-pharmacological group and 8 patients of combined interventions (p<0.05). Conclusion: Timely commenced, combined non-drug and pharmacological preventive sets for thromboembolic complications during major surgery decreases the incidence of venous thromboembolic complications.

This article analyzes results of surgical treatment in 123 patients with concomitant surgical and gynecological diseases, reliant on the anesthetic and operational risks. In early postoperative period, complications arose in patients groups with a significant and high degree of operational and anesthetic risks. Descriptions of risk categories classification allow characterizing the degree of anesthesia risk in surgery. Our study aims to analyze the results of simultaneous surgery for combined diseases of the abdominal cavity and small pelvis, depending on the operational and anesthetic risk. patients underwent a general clinical examination, anamnesis was carefully collected, and a plan for additional examinations was formed, including specialists involvement. Research results showed that at a point that combined operations are controverted with a high degree of anesthetic and operational risk in concurrent operations, these subjects should be scheduled to operate in different stages. Keywords: simultaneous operations, operational and anesthetic risk, surgery