Saraswathi Ramesh¹, Swetha D²* and Harinath³

¹Senior Consultant in the Department of Obstetrics and Gynecology, Bangalore Endoscopic Surgery Training and Research Institute, Bangalore, India
²Fellow in Minimal Invasive Gynecological Surgery, Department of Obstetrics and Gynecology, Bangalore Endoscopic Surgery Training and Research Institute, Bangalore, India
³Consultant in the Department of Obstetrics and Gynecology, Bangalore Endoscopic Surgery Training and Research Institute, Bangalore, India

*Corresponding Author: Swetha D, Fellow in Minimal Invasive Gynecological Surgery, Department of Obstetrics and Gynecology, Bangalore Endoscopic Surgery Training and Research Institute, Bangalore, India.

Received: May 31, 2022; Published: June 27, 2022

Abstract

Research Purpose: Due to the global Covid-19 crisis, the non-availability of outpatient services and the delay of elective surgery have led to an increase in emergencies. Reintroduction of out-patient services, semi-elective surgeries, selective fertility treatment procedures was a necessary step to reduce havoc among the population requiring these services. The objective of our study was to compare the intra-operative complications and short term post-operative outcomes among women who underwent surgical procedures during pre-covid and covid period.

Methods: It is a retrospective study, conducted at BEST training institute, Bangalore, during the period of 1^st Sept 2019 to October 30, 2020 (Covid period - 25^th march - 30 Oct 2020). Diagnosis of patients, procedures, intra-operative complications and post-operative outcomes, need of intensive care or blood transfusion were studied in detail.

Results: 240 women underwent gynecologic laparoscopy, hysteroscopy and combined hystero-laparoscopy procedures during the study period, 90 women during the Covid period and 150 during pre-covid period. The most common surgical indication during the Covid period was AUB-L. We found no significant difference in intra-operative complications and post-operative between both the groups

Conclusion: Non-availability of essential health care can significantly impact on the quality of life and mental status of the patients. Delay in elective services can lead to emergency and urgent cases which adversely affect the outcome. Hence, triage based on the requirements of medical or surgical care to be incorporated in formulating local protocols.

Keywords: SARS-CoV-2; COVID-19; CO₂

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Citation: Swetha D., et al. “Perspective of a Gynecologic Laparoscopic Surgeon During Covid Pandemic in India - A Comparative Retrospective Study of Patient Outcomes in a Tertiary Care Centre". Acta Scientific Clinical Case Reports 3.7 (2022): 64-69.

Copyright: © 2022 Swetha D., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.