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Perioperative management for gynecologic minimally invasive surgery during the COVID-19 pandemic.
García-Ruiz, Nuria S; Ramirez-Caban, Laura; Malekzadeh, Maral; Padilla, Pamela Frazzini.
  • García-Ruiz NS; Department of Gynecology, Cleveland Clinic Florida, Weston, Florida, USA.
Curr Opin Obstet Gynecol ; 33(4): 262-269, 2021 08 01.
Article in English | MEDLINE | ID: covidwho-1286605
ABSTRACT
PURPOSE OF REVIEW This article will review current guidelines regarding surgical protocols for elective and nonelective surgeries during the severe acute respiratory syndrome coronavirus 2 pandemic. RECENT

FINDINGS:

Perioperative management for surgical patients should be modified to promote the safety and wellbeing of patients and caregivers amidst the COVID-19 pandemic. COVID-19 testing should be performed preoperatively with subsequent preprocedure quarantine. Nonemergent or nonlife-threatening surgery should be postponed for COVID-19 positive patients. The consensus of surgical societies is to use a laparoscopic surgical approach for COVID-19 positive patients when appropriate and to avoid port venting at the end of procedures. For COVID-19 positive patients requiring an emergent procedure, the use of personal protective equipment is strongly recommended.

SUMMARY:

After over a year of the COVID-19 pandemic, effective protocols and precautions have been established to decrease the morbidity and mortality of patients undergoing surgery and to promote the safety of healthcare personnel. Continued investigations are necessary as cases of new, possibly more virulent, strains of the virus arise.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Gynecologic Surgical Procedures / Practice Guidelines as Topic / Disease Transmission, Infectious / Minimally Invasive Surgical Procedures / Perioperative Care / COVID-19 Type of study: Observational study / Prognostic study Limits: Female / Humans Language: English Journal: Curr Opin Obstet Gynecol Journal subject: Gynecology / Obstetrics Year: 2021 Document Type: Article Affiliation country: GCO.0000000000000718

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Gynecologic Surgical Procedures / Practice Guidelines as Topic / Disease Transmission, Infectious / Minimally Invasive Surgical Procedures / Perioperative Care / COVID-19 Type of study: Observational study / Prognostic study Limits: Female / Humans Language: English Journal: Curr Opin Obstet Gynecol Journal subject: Gynecology / Obstetrics Year: 2021 Document Type: Article Affiliation country: GCO.0000000000000718