Ghanbari Zinat, Mostaan Fatemeh, Eftekhar Tahereh, Deldar Maryam, Changiz Nasrin, Adabi Khadijeh
Division of Female Pelvic Medicine and Surgery, Department of Obstetrics and Gynecology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran.
J Family Reprod Health. 2020 Mar;14(1):1-4.
Division of Female Pelvic Medicine and Surgery, Department of Obstetrics and Gynecology, Emam Khomeini Hospital, Tehran University of medical sciences proposed a clinically relevant algorithm to guide appropriate decision making based on underlying risk stratification and resource utilization in order to resume elective surgeries, following COVID-19 pandemic crisis. The consequence of standardized decision-making factors and transparency of the principles will provide more assurance, consistency, and reliability on both sides, care providers and the patient. It also will decrease ethical dilemmas and moral criticism for surgeons. Eventually, this approach is applicable in any other disaster preparedness as a logical stratification of surgical indications for the female pelvic floor surgical procedures.
德黑兰医科大学伊玛目霍梅尼医院妇产科女性盆底医学与外科部门提出了一种具有临床相关性的算法,以基于潜在风险分层和资源利用来指导适当的决策,以便在新冠疫情危机后恢复择期手术。标准化决策因素的结果和原则的透明度将为医护人员和患者双方提供更多的保障、一致性和可靠性。这也将减少外科医生面临的伦理困境和道德批评。最终,这种方法作为女性盆底外科手术适应证的合理分层,适用于任何其他灾难防范情况。