RETROSPECTIVE ANALYSIS, CURRENT STATE AND CHALLENGES OF ENDOSCOPIC AND MINIINVASIVE SURGERY IN THE ODESSA NATIONAL MEDICAL UNIVERSITY (1975–2012)

Endoscopy is an exclusive tool of modern medicine and a priority direction of scientific and medical activity of the Obstetrics and Gynecology Department of theOdessaNationalMedicalUniversity, the leading recognized center of endoscopic surgery ofUkraine. The first endoscopic operations inOdessagynecologic clinics were implemented at the end of 70th years last century, videoendoscopic — since 1992. Alongside with cryosurgical techniques, we have started operative endoscopy interventions using high-frequency currents, laser energy, and other newest mechanical tools and manipulations. We have analyzed more than 35-year period of formation and development of endoscopic gynecologic surgery at theOdessaNationalMedicalUniversity. We have studied more than 20,000 gynecologic endoscopic interventions, considering indications to operations, analyzed their types during a certain period, and specific complications of video-endoscopic interventions, that were executed in gynecologic clinics ofOdessa. The retrospective analysis of endoscopic interventions of more than 35 years’ period shows stable dynamics of increase in number of endoscopic interventions, especially during last ten years. Substantially it is connected with improvement of endoscopic operational equipment, introduction of modern operative endoscopic techniques, improvement of qualification and accumulation of experience of gynecologic endoscopic surgeons. Complications rate during operative laparoscopy was near 1%. The gained experience in the field of endoscopic surgery in gynecology was the background for foundation of the Educating andTrainingCentersince 2001, organization of conferences and master-classes, cooperation with the leading centers of endoscopic surgery, cooperation with the world leading centers of endoscopic surgery.