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[Laparoscopic surgery in the COVID-19 era]
M Gracia1, M Rius1, F Carmona1
1Servicio de Ginecología, Institut Clínic de Ginecologia Obstetrícia i Neonatologia, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Facultat de Medicina, Universitat de Barcelona, Barcelona, España.
Clinica E Investigacion En Ginecologia Y Obstetricia
|August 25, 2020
Summary
Adapting to COVID-19 (coronavirus disease 2019) in healthcare settings presents challenges. Laparoscopic surgery is favored in gynecology during the pandemic due to lower morbidity and contained smoke release, with strict safety protocols.
Area of Science:
- Minimally Invasive Surgery
- Infectious Disease Epidemiology
- Healthcare Adaptation
Context:
- Healthcare systems face adaptation challenges due to COVID-19 (coronavirus disease 2019).
- The impact of SARS-CoV-2 on the surgical field remains largely unknown.
- Scientific societies recommend laparoscopy for gynecological procedures during the pandemic.
Purpose:
- To evaluate the role and safety of laparoscopic surgery in gynecology amidst the COVID-19 pandemic.
- To summarize current recommendations for performing laparoscopic procedures safely during the COVID-19 era.
- To highlight the advantages of laparoscopy over open surgery in the context of infectious disease control.
Summary:
- Laparoscopic surgery is considered the preferred method for many gynecological indications during the COVID-19 pandemic.
- Advantages include reduced morbidity, shorter hospital stays, and contained surgical smoke.
- Key recommendations involve enhanced Personal Protective Equipment (PPE) and measures to minimize carbon dioxide (CO2) exposure and surgical smoke.
Impact:
- Facilitates continued gynecological care during a global health crisis.
- Provides a safer surgical option with reduced patient and staff exposure risks.
- Establishes evidence-based guidelines for safe laparoscopic practices in infectious disease settings.
