• Isabella Barcellos Leite, Nino Jose Wilson Moterani Junior, Vinicius Cesar Moterani, Laura Bresciani Bento Gonçalves Moterani, and ReisFrancisco José Candido DosFJCD0000-0001-5758-5917Universidade de São Paulo, Ribeirão Preto Medical School, Department of Gynecology and Obstetrics - Ribeirão Preto (SP), Brazil..
• Faculdade de Medicina de Marília - Marília (SP), Brazil.
• Rev Assoc Med Bras (1992). 2023 Jan 1; 69 (3): 458462458-462.

ObjectiveThis study aimed to evaluate how the pandemic might have affected the number of elective and urgent hysterectomies for benign gynecological pathologies in a single-care tertiary center in the State of São Paulo, Brazil, and to identify if there were any changes in the need for blood transfusions.MethodsThis is a single-center retrospective cohort study. It involved all non-puerperal and non-oncological hysterectomies from October 2018 to July 2021. Patients were divided into two groups, namely, the pandemic group (46 patients) and the control group (92 patients). Data were collected by reviewing the physical and electronic patient records. We carried out the statistical analysis using the RStudio software.ResultsThe number of planned hysterectomies was 82 in the pre-pandemic group and 23 in the analysis group, representing a 71.9% decrease. When considering only urgent surgeries, 10 of them happened in the pre-pandemic group, while 23 occurred in the pandemic group, representing an increase of 130%.ConclusionElective hysterectomies may improve the quality of life of women, reducing abnormal bleeding and pelvic pain. Treatment delay can worsen patients' physiological and biological conditions, such as lower labor production, humor, and social aspects, increasing costs to the healthcare system.

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