SIMULTANEOUS OPERATIONS - COOPERATION BETWEEN GYNECOLOGIST AND GENERAL SURGEON

Background: Simultaneous operations are of particular importance in gy necology and general surgery for women with ovarian and colorectal car cinoma, respectively, The increased coincidence of carcinomas of the e ndometrium and colon in postmenopausal women with colorectal carcinoma s as well as the high frequency of metastasis in the ovaries are taken into account. Patients and results: Between 1987 and 1994, 445 simult aneous operations (gynecology and general surgery) were performed at t he Klinikum Krefeld. In 206 patients, simultaneous operations were per formed in case of colorectal carcinoma or ovarian cancer. Neither the intraoperative nor postoperative morbidity was increased when the conc ept of simultaneous operations was applied. Conclusion: Performing a h ysterectomy and adnexectomy simultaneously in postmenopausal patients with colorectal carcinoma avoids the difficult diagnosis and treatment of endometrial carcinoma later on. Furthermore, this therapy concept takes into account the increased coincidence of carcinomas of the endo metrium and colon as well as the high frequency of ovarian metastasis.