Practical recommendations for gynecologic surgery during the COVID-19 pandemic

Area of Science:

• Obstetrics and Gynecology
• Infectious Diseases
• Surgical Oncology

Background:

• Surgery in patients with COVID-19 presents significant risks due to viral presence in body cavities.
• Surgical procedures can aerosolize the virus, potentially infecting healthcare workers.

Purpose of the Study:

• To provide recommendations for the surgical management of common gynecologic diseases during the COVID-19 pandemic.
• To support gynecologists globally in navigating surgical decisions amidst the pandemic.

Main Methods:

• Expert opinion synthesis
• Review of current scientific literature
• Analysis of international scientific society recommendations

Main Results:

• Elective gynecologic surgeries should be postponed if possible.
• Nonoperative and conservative treatments, including hormonal therapy, are preferred for hormone-sensitive conditions.
• Pre-operative COVID-19 testing and risk assessment are essential for patient and staff safety.

Conclusions:

• Surgical interventions for gynecologic conditions during the COVID-19 pandemic require careful consideration and risk assessment.
• Postponement of elective surgery is advised for confirmed or suspected COVID-19 cases until full recovery.