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[腹部外科与妇科合作中的跨学科手术范围:(普通/腹部)外科医生必须了解什么?]

[Interdisciplinary surgical spectrum in cooperation of abdominal surgery and gynecology : What must the (general/abdominal) surgeon know?].

作者信息

Garlaschelli Gabriele, Ignativ Atanas, Meyer Frank

机构信息

Klinik für Allgemein-, Viszeral-, Gefäß- und Transplantationschirurgie, Universitätsklinikum Magdeburg A. ö. R., Magdeburg, Deutschland.

Klinik für Gynäkologie und Geburtshilfe, Universitätsklinikum Magdeburg A. ö. R., Magdeburg, Deutschland.

出版信息

Chirurgie (Heidelb). 2024 May;95(5):382-394. doi: 10.1007/s00104-024-02033-w. Epub 2024 Jan 31.

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.

摘要

目的

本简要概述旨在从主要的手术角度简明扼要地概述最重要的妇科问题,这些问题可能对普通外科医生和腹部外科医生也具有相关性,以及主要内脏外科疾病中重要的妇科方面。

方法

通过使用PubMed®以及Cochrane图书馆,以“腹部外科和妇科的手术概况”、“妇科/腹部外科的跨学科手术方面”以及“跨学科手术方法 - 手术并发症”等搜索词,对妇科/普通外科和腹部外科跨学科合作主题进行叙述性综述。

结果(要点):正如紧密的解剖关系所表明的,许多主要的妇科疾病也可能发生在腹部器官。同样,主要的外科疾病也可能导致妇科器官受累。这可能使术中合作成为必要。此外,由于诊断不确定性或在并发症的情况下,术前和术后也可能需要跨学科合作。多学科知识以及相关专业的密切合作可以改善受影响患者的治疗结果。

结论

许多疾病不仅延伸到单个学科的边界,还可能影响超出这些界限的生理系统。因此,为了实现最佳治疗,有必要了解疾病的这些方面,并建立跨学科合作的结构化程序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5204/11031494/25ad9db1e106/104_2024_2033_Fig1_HTML.jpg

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