Faculty of Medicine, Institute of Obstetrics and Gynecology, University of Debrecen, Debrecen, Hungary.
Minim Invasive Ther Allied Technol. 2021 Oct;30(5):311-316. doi: 10.1080/13645706.2021.1938133. Epub 2021 Jun 22.
The extent of the 2020 pandemic not only extends to the infected patients but also to patients who have been waiting for medical procedures. Reevaluation of the healthcare system is important in order to help assist the needs of intensive care units. The urgency of the gynaecological cases should be aligned based on surgical interventions and minimally invasive methods should be preferred. This will not endanger professional and other resource demands of ICUs. In acute cases, laparoscopy or hysteroscopy (preferring office hysteroscopy) should be chosen, that require no or only short period of hospitalization. Postponing non-acute surgeries is recommended to the post-pandemic period. : ICU: intensive care unit; COVID-19: coronavirus disease; SARS-CoV-2: severe acute respiratory syndrome Coronaviruses; IgM-IgG: immunoglobulin M; GAGP: aerosol generating procedures; PPE: personal protective equipment; ERAS: early recovery after surgery; mESAS: modified elective surgery acuity scale; RPOC: retained product of concept; PMB: postmenopausal bleeding.
2020 年大流行的范围不仅扩展到了感染患者，还扩展到了等待医疗程序的患者。为了帮助满足重症监护病房的需求，对医疗保健系统进行重新评估很重要。应根据手术干预来调整妇科病例的紧迫性，并优先采用微创方法。这不会危及 ICU 的专业和其他资源需求。在急性情况下，应选择腹腔镜或宫腔镜（优先选择门诊宫腔镜），这些操作无需住院或仅需短期住院。建议将非急性手术推迟到大流行后进行。： ICU：重症监护病房；COVID-19：冠状病毒病；SARS-CoV-2：严重急性呼吸综合征冠状病毒；IgM-IgG：免疫球蛋白 M；GAGP：气溶胶生成程序；PPE：个人防护设备；ERAS：手术后早期恢复；mESAS：改良择期手术严重程度量表；RPOC：保留概念产物；PMB：绝经后出血。
