Gynecological laparoscopic surgeries in the era of COVID-19 pandemic: a prospective study
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ObjectiveThe novel coronavirus pandemic led to the suspension of elective surgeries and the diversion of resources andmanpower towards pandemic control. However, gynecological emergencies and malignancies must be addresseddespite the restricted resources and the need for protective measures against COVID-19. This study aimed todetermine the types of gynecological surgeries performed, difficulties encountered, and their outcomes in the settingof the pandemic. MethodsWe performed a prospective cohort study over 6 months at a single tertiary center, including 60 women withgynecological complaints, categorized as emergencies and semi-emergencies, who underwent further surgery. Theirsurgical outcomes were measured through various parameters. ResultsWe found that 68.3% were emergency cases, while the rest were classified as semi-emergencies. Fibroid andadenomyosis with failed medical management (48.3%), followed by cervical intraepithelial neoplasia (10%), andmalignancies (10%) accounted for the semi-emergency cases, while ruptured ectopic pregnancies (13.3%) and torsionand ovarian cysts (18.4%) comprised the emergency cases. The decision to incision time between emergency andsemi-emergency cases varied widely due to the safety prerequisites during the pandemic, ranging from 1 hour inemergency cases to 48 hours in semi-emergency cases. In addition, we studied the ease of preoperative preparation,patient satisfaction, and the average number of personnel available to run the operation theaters at these times. Noserious perioperative adverse events were observed in the present study. ConclusionIn conclusion, gynecological surgeries could continue to be safely performed with all precautions in place againstCOVID-19 infection and related morbidities.
Abstract
ObjectiveThe novel coronavirus pandemic led to the suspension of elective surgeries and the diversion of resources andmanpower towards pandemic control. However, gynecological emergencies and malignancies must be addresseddespite the restricted resources and the need for protective measures against COVID-19. This study aimed todetermine the types of gynecological surgeries performed, difficulties encountered, and their outcomes in the settingof the pandemic. MethodsWe performed a prospective cohort study over 6 months at a single tertiary center, including 60 women withgynecological complaints, categorized as emergencies and semi-emergencies, who underwent further surgery. Theirsurgical outcomes were measured through various parameters. ResultsWe found that 68.3% were emergency cases, while the rest were classified as semi-emergencies. Fibroid andadenomyosis with failed medical management (48.3%), followed by cervical intraepithelial neoplasia (10%), andmalignancies (10%) accounted for the semi-emergency cases, while ruptured ectopic pregnancies (13.3%) and torsionand ovarian cysts (18.4%) comprised the emergency cases. The decision to incision time between emergency andsemi-emergency cases varied widely due to the safety prerequisites during the pandemic, ranging from 1 hour inemergency cases to 48 hours in semi-emergency cases. In addition, we studied the ease of preoperative preparation,patient satisfaction, and the average number of personnel available to run the operation theaters at these times. Noserious perioperative adverse events were observed in the present study. ConclusionIn conclusion, gynecological surgeries could continue to be safely performed with all precautions in place againstCOVID-19 infection and related morbidities.
참고문헌 (15)
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