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Effects of Surgical Delay Due to COVID-19 on Women Requiring Emergency Gynaecological Surgery

      ABSTRACT

      In response to the coronavirus-19 (COVID-19) pandemic, the McGill University Health Centre introduced protocols to protect health care workers during emergency surgeries. These included waiting for a COVID-19 test result or waiting 20 minutes after aerosol-inducing procedures before proceeding with surgery. The following brief communication describes the impact of surgical delay on the outcomes of 3 emergency gynaecologic procedures: dilatation and curettage, laparoscopic salpingectomy, and laparoscopic cystectomy and detorsion. Our results show that delays associated with COVID-19 protocols did not negatively impact patients undergoing these surgeries.

      RÉSUMÉ

      En réponse à la pandémie de maladie à coronavirus-19 (COVID-19), le Centre universitaire de santé McGill a mis en place des protocoles pour protéger les travailleurs de la santé durant les interventions chirurgicales d'urgence. Les mesures impliquaient d'attendre le résultat du dépistage de la COVID-19 ou d'attendre 20 minutes après une intervention générant des aérosols avant de réaliser toute intervention chirurgicale. Cette brève décrit les effets du report de l'intervention sur les issues de trois interventions gynécologiques d'urgence : dilatation-curetage; salpingectomie laparoscopique; et détorsion et kystectomie laparoscopiques. Nos résultats montrent que le temps d'attente associé aux protocoles de COVID-19 n'a pas eu d'effet négatif sur les patientes opérées.

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      REFERENCES

      1. World Health Organization. WHO director-general's opening remarks at the media briefing on COVID-19 - 11 March 2020. Available at: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19—11-march-2020. Accessed on December 18, 2020.

        • Forrester JD
        • Nassar AK
        • Maggio PM
        • et al.
        Precautions for operating room team members during the COVID-19 pandemic.
        J Am Coll Surg. 2020; 230: 1098-1101
        • Chiofalo B
        • Baiocco E
        • Mancini E
        • et al.
        Practical recommendations for gynecologic surgery during the COVID-19 pandemic.
        Int J Gynaecol Obstet. 2020; 150: 146-150
        • Thomas V
        • Maillard C
        • Barnard A
        • et al.
        International Society for Gynecologic Endoscopy (ISGE) guidelines and recommendations on gynecological endoscopy during the evolutionary phases of the SARS-CoV-2 pandemic.
        Eur J Obstet Gynecol Reprod Biol. 2020; 253: 133-140