Gynecologic surgical considerations in the era of COVID-19

Semin Perinatol. 2020 Oct;44(6):151296. doi: 10.1016/j.semperi.2020.151296. Epub 2020 Jul 23.

Abstract

The goal of this chapter is to review the various considerations necessary to safely perform gynecologic surgery in the setting of a viral pandemic. The ability to triage surgical cases at a time of reduced resources is facilitated by both state and national societal guidelines in addition to various scoring systems. Concerns by health care personnel of viral transmission intra-operatively require appropriate use of PPE and pre-operative COVID-19 testing. Implementation of mitigation strategies around aerosol-generating procedures such as laparoscopy protects health care personnel involved in the surgical care of the patient.

Keywords: COVID-19; Coronavirus; Gynecology; Hysterectomy; Surgery.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • COVID-19 / diagnosis
  • COVID-19 / prevention & control*
  • COVID-19 / transmission
  • COVID-19 Testing
  • Female
  • Gynecologic Surgical Procedures / methods*
  • Gynecologic Surgical Procedures / statistics & numerical data
  • Health Personnel
  • Health Planning Guidelines
  • Humans
  • Personal Protective Equipment
  • Preoperative Care / methods
  • SARS-CoV-2*
  • Triage / methods*