Sol Goldman Associate Professor of Gynecologic Oncology, Chief, Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, Columbia University Irving Medical Center/New York-Presbyterian Hospital, 161 Fort Washington Avenue, New York, NY 10032, USA.
Levine Family Professor of Women's Health, Vice-Chair, Department of Obstetrics & Gynecology, Chief, Division of Gynecologic Specialty Surgery, Sloane Hospital for Women, Columbia University Irving Medical Center/New York-Presbyterian Hospital, 622 West 168(th) Street, PH 16, Room 139, New York, NY 10032, USA.
Semin Perinatol. 2020 Oct;44(6):151296. doi: 10.1016/j.semperi.2020.151296. Epub 2020 Jul 23.
The goal of this chapter is to review the various considerations necessary to safely perform gynecologic surgery in the setting of a viral pandemic. The ability to triage surgical cases at a time of reduced resources is facilitated by both state and national societal guidelines in addition to various scoring systems. Concerns by health care personnel of viral transmission intra-operatively require appropriate use of PPE and pre-operative COVID-19 testing. Implementation of mitigation strategies around aerosol-generating procedures such as laparoscopy protects health care personnel involved in the surgical care of the patient.
本章的目的是回顾在病毒大流行期间安全进行妇科手术的各种必要考虑因素。通过州和国家社会指南以及各种评分系统，能够在资源减少的情况下对手术病例进行分类。医护人员对手术过程中病毒传播的担忧需要适当使用个人防护设备和术前 COVID-19 检测。实施针对诸如腹腔镜等产生气溶胶的程序的缓解策略可保护参与患者手术护理的医护人员。
