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Curr. Opin. Obstet. Gynecol. · Aug 2021
ReviewPerioperative management for gynecologic minimally invasive surgery during the COVID-19 pandemic.
- Nuria S García-Ruiz, Laura Ramirez-Caban, Maral Malekzadeh, and PadillaPamela FrazziniPF.
- Department of Gynecology, Cleveland Clinic Florida, Weston, Florida, USA.
- Curr. Opin. Obstet. Gynecol. 2021 Aug 1; 33 (4): 262-269.
Purpose Of ReviewThis article will review current guidelines regarding surgical protocols for elective and nonelective surgeries during the severe acute respiratory syndrome coronavirus 2 pandemic.Recent FindingsPerioperative 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.SummaryAfter 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.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
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