Acta Scientific Clinical Case Reports

Case StudyVolume 3 Issue 7

Perspective of a Gynecologic Laparoscopic Surgeon During Covid Pandemic in India - A Comparative Retrospective Study of Patient Outcomes in a Tertiary Care Centre

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 1st Sept 2019 to October 30, 2020 (Covid period - 25th 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

Bibliography

  1. Leonardi M., et al. “Endometriosis and the COVID–19 pandemic: clinical advice and future considerations”. Frontiers in Reproductive Health 2 (2020): 5.
  2. de Leeuw RA., et al. “COVID-19 and Laparoscopic Surgery: Scoping Review of Current Literature and Local Expertise”. JMIR Public Health Surveillance2 (2020): e18928.
  3. Balasubramanian A., et al. “Impact of COVID-19 on the mental health of surgeons and coping strategies”. Head and Neck7 (2020): 1638-1644.
  4. Brown J. “Surgical decision making in the era of COVID-19: a new set of rules”. Journal of Minimally Invasive Gynecology 27 (2020): 785-786.
  5. Angioni S. “Laparoscopy in the coronavirus disease 2019 (COVID-19) era”. Gynecology Surgery 17 (2020): 3.
  6. Zheng MH., et al. “Minimally invasive surgery and the novel coronavirus outbreak – lessons learned in China and Italy”. Annals of Surgery (2020): 10.
  7. AMASI (Association of Minimal Access Surgeons of India) Guidelines for Conducting Minimal Access Surgery during COVID-19 Pandemic (2020).
  8. Gupta N and Agrawal H. “COVID 19 and laparoscopic surgeons, the Indian scenario – Perspective”. International Journal of Surgery 79 (2020): 165-167.
  9. Francis N., et al. “SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic”. Surgical Endoscopy6 (2020): 2327-2331.
  10. Sahu KK., et al. “Coronavirus disease-2019: An update on third coronavirus outbreak of 21st century”. QJM5 (2020): 384-386.
  11. Regarding "understanding the "scope" of the problem: why laparoscopy is considered safe during the COVID-19 pandemic”. Journal of Minimally Invasive Gynecology 27 (2020): 1423.
  12. ESGE Recommendations for Gynaecological Endoscopic.
  13. Cavaliere G. “Non-essential treatment? Sub-fertility in the time of COVID-19 (and beyond)”. Reproductive BioMedicine Online 3 (2020): 543-545.

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.