COVID 19 pandemic and minimally invasive gynecology: consequences and future perspectives.
Zsolt FarkasZoárd T KrasznaiRudolf LampéPéter TörökPublished in: Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy (2021)
The extent of the 2020 pandemic not only extends to the infected patients but also to patients who have been waiting for medical procedures. Reevaluation of the healthcare system is important in order to help assist the needs of intensive care units. The urgency of the gynaecological cases should be aligned based on surgical interventions and minimally invasive methods should be preferred. This will not endanger professional and other resource demands of ICUs. In acute cases, laparoscopy or hysteroscopy (preferring office hysteroscopy) should be chosen, that require no or only short period of hospitalization. Postponing non-acute surgeries is recommended to the post-pandemic period. Abbreviations: ICU: intensive care unit; COVID-19: coronavirus disease; SARS-CoV-2: severe acute respiratory syndrome Coronaviruses; IgM-IgG: immunoglobulin M; GAGP: aerosol generating procedures; PPE: personal protective equipment; ERAS: early recovery after surgery; mESAS: modified elective surgery acuity scale; RPOC: retained product of concept; PMB: postmenopausal bleeding.
Keyphrases
- sars cov
- minimally invasive
- intensive care unit
- coronavirus disease
- respiratory syndrome coronavirus
- liver failure
- mechanical ventilation
- robot assisted
- respiratory failure
- end stage renal disease
- healthcare
- chronic kidney disease
- drug induced
- newly diagnosed
- ejection fraction
- aortic dissection
- prognostic factors
- atrial fibrillation
- patients undergoing
- case report
- coronary artery bypass
- patient reported