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COVID-19疫情后择期手术的恢复,女性盆底医学与外科学指南

Resumption of Elective Surgery Following COVID-19 Outbreak, Guideline for Female Pelvic Medicine and Surgery.

作者信息

Ghanbari Zinat, Mostaan Fatemeh, Eftekhar Tahereh, Deldar Maryam, Changiz Nasrin, Adabi Khadijeh

机构信息

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.

出版信息

J Family Reprod Health. 2020 Mar;14(1):1-4.

PMID:32863832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7428416/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c76e/7428416/a3e448572660/JFRH-14-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c76e/7428416/a3e448572660/JFRH-14-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c76e/7428416/a3e448572660/JFRH-14-1-g001.jpg

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本文引用的文献

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2
COVID-19 Outbreak and Surgical Practice: Unexpected Fatality in Perioperative Period.COVID-19 疫情与外科手术实践:围手术期的意外死亡。
Ann Surg. 2020 Jul;272(1):e27-e29. doi: 10.1097/SLA.0000000000003925.
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Managing COVID-19 in Surgical Systems.外科系统中新型冠状病毒肺炎的管理
Ann Surg. 2020 Jul;272(1):e1-e2. doi: 10.1097/SLA.0000000000003923.
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Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study.中国武汉成人 COVID-19 住院患者的临床病程和死亡危险因素:一项回顾性队列研究。
Lancet. 2020 Mar 28;395(10229):1054-1062. doi: 10.1016/S0140-6736(20)30566-3. Epub 2020 Mar 11.
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Understanding of COVID-19 based on current evidence.基于现有证据对 COVID-19 的理解。
J Med Virol. 2020 Jun;92(6):548-551. doi: 10.1002/jmv.25722. Epub 2020 Mar 5.
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Perioperative interventions in pelvic organ prolapse surgery.盆腔器官脱垂手术的围手术期干预措施。
Cochrane Database Syst Rev. 2018 Aug 19;8(8):CD013105. doi: 10.1002/14651858.CD013105.
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Female Pelvic Med Reconstr Surg. 2016 Sep-Oct;22(5):346-54. doi: 10.1097/SPV.0000000000000287.
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